Nadiya House, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

1265 Issued in VA

Legal business name

NADIYA HOUSE, LLC

Practice address

123 S Chappell St
Petersburg, VA 23803-3910

Phone

(804) 919-1826

NPI assigned

Jul 20, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Shirley Hartense Scott

Title

Owner

Phone

(804) 862-2340

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1891008710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 146",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238340146",
            "telephone_number": "804-862-2340",
            "fax_number": "804-862-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S CHAPPELL ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238033910",
            "telephone_number": "804-919-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADIYA HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "HARTENSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-862-2340",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": "1265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Mental Illness Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.