Powerline Community Development Corp.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

POWERLINE COMMUNITY DEVELOPMENT CORP.

Practice address

610 Brooke St
Newport News, VA 23605-1506

Phone

(757) 827-6937

Fax

(757) 827-6940

NPI assigned

Feb 5, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Rose Elam

Title

Executive Director

Phone

(757) 827-6937

Specialties & licenses 1

Addresses

Other names 1

• ELAM HOUSE Doing business as

Locations

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1881833432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6148 JEFFERSON AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236051557",
            "telephone_number": "757-827-6937",
            "fax_number": "757-827-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 BROOKE ST",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236051506",
            "telephone_number": "757-827-6937",
            "fax_number": "757-827-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERLINE COMMUNITY DEVELOPMENT CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "ELAM",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "757-827-6937",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELAM HOUSE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rashad Powell
• Snoe Powell, PHARM.D.
• Stephanie Denise Powell, LSA CSFA
• Timothy Powell, M.D.
• Powerful Expressions LLC
• Janice Powers, RD
• Rebekah J Powers, LPC
• Stephany Powers
• Traci Bunn Powers
• William Farley Powers III, PT

• Emotionally Disturbed Childrens' Residential Treatment Facility in Newport News, VA
• Providers in Newport News, VA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.