CAMP LOUD AND SERVICES (NPI# 1164918496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164918496 |
Entity Type | Organization |
Organization Name | CAMP LOUD AND SERVICES |
Other Organization Name | CAMP LOUD |
Practice Address |
3280 Academy Ave Portsmouth VA 23703-3203 |
Practice Telephone | 7572714555 |
Mailing Telephone | 7572714555 |
Enumeration Date | 2018-07-10 |
Last Update Date | 2019-07-09 |
Authorized Official Name | MRS. MYRA SMITH-JONES (OWNER) |
Authorized Official Telephone | 7576098914 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
Camp Loud | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | Camp Loud and Services Inc. | 809 Main St Suite 103, Newport News, Virginia 23605 |
Virginia Business Entities | Camp Loud and Services LLC | 3280 Academy Ave, Portsmouth, Virginia 23703 |
Street Address |
3280 ACADEMY AVE |
City | PORTSMOUTH |
State | VA |
Zip Code | 23703-3203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174037444 | Kelly Foster | Massage Therapist | 3108 Tyre Neck Rd Ste D, Portsmouth, VA 23703 | 2017-11-25 |
1578072104 | Katherine Armstrong Wise | Behavior Technician | 3120 Verne Ave, Portsmouth, VA 23703 | 2017-09-27 |
1891223913 | Ashley Rebecca Anderson | Dentist | 5915 High Street W, Portsmouth, VA 23703 | 2017-06-02 |
1881126019 | Anas Elmahdi | Specialist | 5205 Sweetbriar C., 5205 Sweetbriar C., Portsmouth, VA 23703 | 2017-03-28 |
1578003554 | Elyse Buttery | Nurse Practitioner | Mast One 1040 University Blvd, Suite 200, Portsmouth, VA 23703 | 2017-02-24 |
1376948349 | Charles Douglas Knight | Military Health Care Provider | Uss Maryland Ssbn 738, Fpo, AA 23703 | 2014-11-03 |
1689929382 | Positive Connections, Inc | Community/Behavioral Health | 3823d Meherrin River Reach, Portsmouth, VA 23703 | 2012-07-18 |
1225319874 | Sanaz Namin | Pharmacist | 5601 High Street, Porstmouth, VA 23703 | 2011-09-08 |
1295029767 | Maggie Jackson | Dental Hygienist | 4000 Coast Guard Blvd., Portsmouth, VA 23703 | 2011-06-02 |
1679804892 | Amy Kathleenn Gaspar | Specialist/Technologist, Other | 4113 Pendleton Rd, Portsmouth, VA 23703 | 2010-01-28 |
Find all providers in zip 23703 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
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1619574837 | Seacoast Pathways | Community/Behavioral Health | 155 Brewery Ln Ste 102, Portsmouth, NH 03801-4995 | 2020-10-01 |
1710599873 | Tinas Love and Care Inc | Community/Behavioral Health | 165 Choate St, Portsmouth, VA 23707-4567 | 2020-08-20 |
1508488305 | Island Light Psychotherapy, LLC | Community/Behavioral Health | 11 King Charles Dr Ste A, Portsmouth, RI 02871-1364 | 2020-05-14 |
1336654854 | Phoenix Group Home | Community/Behavioral Health | 303 Offnere St, Portsmouth, OH 45662-4655 | 2017-12-06 |
1790208296 | Stepless Ladders LLC | Community/Behavioral Health | 1521 Wilcox Ave, Portsmouth, VA 23704-6814 | 2017-07-18 |
1033641006 | Shellie Lindbergh Rankin Jr. | Community/Behavioral Health | 1402 Newby Rd, Portsmouth, VA 23701-3130 | 2017-03-29 |
1760832505 | Granite Pathways | Community/Behavioral Health | 865 Islington St, Portsmouth, NH 03801-4229 | 2016-06-13 |
1003265109 | Synergy Health Systems | Community/Behavioral Health | 1602 Cavalier Blvd, Portsmouth, VA 23701-3808 | 2016-06-09 |
1033571005 | Connecting Communities, LLC | Community/Behavioral Health | 309 County St Ste 203, Portsmouth, VA 23704-3701 | 2016-03-28 |
1215323274 | D'vine Intervention Counseling Center | Community/Behavioral Health | 2424 Oak Street, Portsmouth, VA 27870 | 2015-04-07 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 23703 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.