Prissy'S Place LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PRISSY'S PLACE LLC

Practice address

505 Roosevelt Blvd
Portsmouth, VA 23701-4118

Phone

(757) 487-6441

NPI assigned

Nov 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Priscilla Antoinette West, DOCTORATE ED.

Title

Director

Phone

(757) 487-6441

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1891192795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 ROOSEVELT BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237014118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 ROOSEVELT BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237014118",
            "telephone_number": "757-487-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISSY'S PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "ANTOINETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-487-6441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOCTORATE ED."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.