NPIMap

Organization Active NPI

Extreme Recovery

  • Community/Behavioral Health Agency
  • Norfolk, VA
National Provider Identifier
1861805327
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EXTREME RECOVERY
Practice address
1216 Granby St Ste 21
Norfolk, VA 23510-2622
Phone
(919) 710-4252
NPI assigned
Jun 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Authorized official

Name
Mrs. Denise Wiggins
Title
Director
Phone
(919) 710-4252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1216 Granby St Ste 21
Norfolk, VA 23510-2622

Mailing address

1216 Granby St Ste 21
Norfolk, VA 23510-2622

National Provider Directory

National Provider Directory
Tax ID family
Extreme Recovery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1216 Granby St
Ste 21
Norfolk, VA 23510
Phone (919) 710-4252

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1861805327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 GRANBY ST STE 21",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 GRANBY ST STE 21",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102622",
            "telephone_number": "919-710-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTREME RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-710-4252",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.