Active NPI
Community Direct Services, Inc.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Virginia Beach, VA
National Provider Identifier
1962653436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 593-03-011
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Community Direct Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Virginia Beach, VA
- NPI 1689713703
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.