NPIMap

Organization Active NPI

Person Centered Place, LLC

  • Community/Behavioral Health Agency
  • Virginia Beach, VA
National Provider Identifier
1912341926
Registry record updated Apr 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1823-02-006 Issued in VA
Legal business name
PERSON CENTERED PLACE, LLC
Practice address
4667 Haygood Rd
# 506
Virginia Beach, VA 23455-5444
Phone
(757) 227-6081
Fax
(757) 227-6082
NPI assigned
Apr 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2013

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

Authorized official

Name
Juanda Antrum
Title
Chief Service Officer
Phone
(757) 227-6081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1823-02-006 VA Primary

Addresses

Primary practice location

4667 Haygood Rd
# 506
Virginia Beach, VA 23455-5444

Mailing address

4667 Haygood Rd
# 506
Virginia Beach, VA 23455-5444
Phone (757) 227-6081

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366416000000",
    "number": "1912341926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4667 HAYGOOD RD",
            "address_2": "# 506",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555444",
            "telephone_number": "757-227-6081",
            "fax_number": "757-227-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4667 HAYGOOD RD",
            "address_2": "# 506",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555444",
            "telephone_number": "757-227-6081",
            "fax_number": "757-227-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSON CENTERED PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-20",
        "last_updated": "2013-04-20",
        "status": "A",
        "authorized_official_last_name": "ANTRUM",
        "authorized_official_first_name": "JUANDA",
        "authorized_official_title_or_position": "CHIEF SERVICE OFFICER",
        "authorized_official_telephone_number": "757-227-6081"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1823-02-006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2013; 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.