Clearr Vission Support Services, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

CLEARR VISSION SUPPORT SERVICES, LLC

Practice address

5812 Northford PL
Chesterfield, VA 23832-7590

Phone

(804) 271-7263

Fax

(804) 271-8612

NPI assigned

Oct 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Derwin Lamont Hickman Sr.

Title

Ceo

Phone

(804) 527-0992

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902988702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7818 CAMOLIN CT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232286400",
            "telephone_number": "804-527-0992",
            "fax_number": "804-271-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5812 NORTHFORD PL",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238327590",
            "telephone_number": "804-271-7263",
            "fax_number": "804-271-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARR VISSION SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "DERWIN",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-527-0992",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marquis Raynard Clarke
• Jeanette Cathleen Claussen
• Clearr Vissions Support Services, Inc.
• Danika Clemmons, NP
• Dora Luz Coakley, OTR/L
• Lisa H Coker
• Elindra Coleman-Johnson, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.