Organization Active NPI

Community Direct Services, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Virginia Beach, VA
National Provider Identifier
1962653436
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
593-03-011 Issued in VA
Legal business name
COMMUNITY DIRECT SERVICES, INC.
Practice address
184 Business Park Drive
Suite 125
Virginia Beach, VA 23462
Phone
(757) 964-4899
Fax
(757) 965-4359
NPI assigned
Oct 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Authorized official

Name
Carey L Lomax
Title
Ceo
Phone
(757) 965-4899

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 593-03-011 VA Primary
Respite Care 385H00000X 593-03-011 VA

Addresses

Primary practice location

184 Business Park Drive
Suite 125
Virginia Beach, VA 23462

Mailing address

420 N Center Dr
Norfolk, VA 23502-4007
Phone (757) 575-7303

Other names 1

  • Community Direct Services Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Community Direct Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

420 N Center Dr
Norfolk, VA 23502
Phone (757) 292-1220

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1962653436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N CENTER DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024007",
            "telephone_number": "757-575-7303",
            "fax_number": "757-226-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 BUSINESS PARK DRIVE",
            "address_2": "SUITE 125",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23462",
            "telephone_number": "757-964-4899",
            "fax_number": "757-965-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DIRECT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "LOMAX",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-965-4899"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "593-03-011",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "VA",
            "license": "593-03-011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Direct Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 9, 2018; 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.