The Branch Community Group

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

THE BRANCH COMMUNITY GROUP

Practice address

24293 Lankford Highway
Tasley, VA 23441

Phone

(757) 709-9001

Fax

(757) 787-1122

NPI assigned

Oct 28, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tammi West Bagwell, QMHP,QDDP

Title

Program Director

Phone

(757) 709-9001

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1831732312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "ACCOMAC",
            "state": "VA",
            "postal_code": "233010306",
            "telephone_number": "757-709-9001",
            "fax_number": "757-787-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24293 LANKFORD HIGHWAY",
            "city": "TASLEY",
            "state": "VA",
            "postal_code": "23441",
            "telephone_number": "757-709-9001",
            "fax_number": "757-787-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRANCH COMMUNITY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "BAGWELL",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_middle_name": "WEST",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "757-709-9001",
        "authorized_official_credential": "QMHP,QDDP"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• No Limits Eastern Shore
• Reliability Medical Care, PC
• Corinne Nicole Taylor-Dauses, LPC

• Developmentally Disabled Services Day Training Agency in Tasley, VA
• Providers in Tasley, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.