Parkerlane Assistant Living Facility

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

PARKERLANE ASSISTANT LIVING FACILITY

Practice address

12706 Parker LN
Chester, VA 23831-5130

Phone

(804) 748-2670

Fax

(180) 058-3495

NPI assigned

Jun 7, 2016

Organization subpart

No

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

Authorized official

Name

Miss Sharon Yvette Johnson

Title

Ceo

Phone

(804) 748-2670

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1902255235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12706 PARKER LN",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238315130",
            "telephone_number": "804-748-2670",
            "fax_number": "180-058-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12706 PARKER LN",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238315130",
            "telephone_number": "804-748-2670",
            "fax_number": "180-058-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKERLANE ASSISTANT LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-748-2670",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0167642211",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Outreach Training and Support Services
• Tatum Overbeek
• Oyewale O Oyewole, LMHP-R
• Lynsey Marie Palmer
• Cheryl Parker
• Taizhe' Aqueen Parson, CD, SCD, CBS
• Maryann C Partridge, AGPCNP-BC
• Mathias Michael Pastore, DC
• Bansari Hardik Patel, DDS
• Kunal Patel, M.D.

• Child Intellectual and/or Developmental Disabilities Respite Care in Chester, VA
• Providers in Chester, VA by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.