Active NPI
Portsmouth VA Opco LLC
- Skilled Nursing Facility
- Portsmouth, VA
National Provider Identifier
1962078931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PORTSMOUTH VA OPCO LLC
- Practice address
- 1 Bon Secours Way
Portsmouth, VA 23703-4533 - Phone
- (757) 686-9100
- NPI assigned
- Jun 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Devora Kirschner
- Title
- VP of Administrative Services
- Phone
- (757) 686-9100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
1 Bon Secours Way
Portsmouth, VA 23703-4533
Mailing address
980 Sylvan Ave
Englewood Cliffs, NJ 07632-3301
Phone (201) 290-8081
Other names 1
- Karolwood Gardens at Portsmouth
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622592000000",
"number": "1962078931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 SYLVAN AVE",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076323301",
"telephone_number": "201-290-8081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BON SECOURS WAY",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237034533",
"telephone_number": "757-686-9100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTSMOUTH VA OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-01",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A",
"authorized_official_last_name": "KIRSCHNER",
"authorized_official_first_name": "DEVORA",
"authorized_official_title_or_position": "VP OF ADMINISTRATIVE SERVICES",
"authorized_official_telephone_number": "757-686-9100"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Karolwood Gardens at Portsmouth",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.