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Hampton-Newport News Community Services Board

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Hampton, VA

NPI 1821657719 · NPPES record last updated Jun 13, 2019

Key facts

NPI
1821657719
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
Legal business name
HAMPTON-NEWPORT NEWS COMMUNITY SERVICES BOARD
Practice address
1421 Aberdeen Rd
Hampton, VA 23666-4027
Phone
(757) 251-2244
Fax
(757) 224-4950
NPI assigned
Jun 13, 2019
Organization subpart
Yes
Parent organization (as reported)
HAMPTON-NEWPORT NEWS COMMUNITY SERVICES BOARD

Authorized official

Name
Yaisa Onika Goodwin
Title
Credentialing/Procurement Coordinat
Phone
(757) 788-0065

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

National Provider Directory

Part of
Hampton-Nnews CSB Ta C

Locations

1421 Aberdeen Rd
Hampton, VA 23666
Phone (757) 251-2244

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Yes

Addresses

Primary practice location

1421 Aberdeen Rd
Hampton, VA 23666-4027

Mailing address

300 Medical Dr
Hampton, VA 23666-1765
Phone (757) 788-0300

Other identifiers

IdentifierTypeStateIssuer
1659424448MedicaidVA

Other names

  • Aberdeen ICF Doing business as

Other providers in Hampton, VA

All providers in Hampton, VA · Intellectual Disabilities Intermediate Care Facility in Virginia

Sources for this page

Verify at the official NPI Registry.