EAST END ACADEMY INC SOUTHSIDE (NPI# 1578798849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578798849 |
| Entity Type | Organization |
| Organization Name | EAST END ACADEMY INC SOUTHSIDE |
| Other Organization Name | EAST END ACADEMY INC SOUTHSIDE |
| Practice Address |
2607 Colonial Avenue Norfolk VA 23517 |
| Mailing Address |
2607 Colonial Ave Norfolk VA 23517-1227 |
| Practice Telephone | 7572757498 |
| Practice Fax Number | 7572757561 |
| Mailing Telephone | 7572757498 |
| Mailing Fax Number | 7573757561 |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2009-05-15 |
| Authorized Official Name | MS. RUBY ELEY (CEO) |
| Authorized Official Telephone | 7572757498 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAST END ACADEMY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
========= | VA | Ambulatory Health Care Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
320 | VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 23517 | 05 |
| Other Name | Type Code |
|---|---|
| East End Academy Inc Southside | Other Name - Individual/Organization |
| Street Address |
2607 COLONIAL AVENUE |
| City | NORFOLK |
| State | VA |
| Zip Code | 23517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164948535 | Honey Behavioral Therapy | Behavioral Analyst | 520 W. 21st Street, Suite G2-407, Norfolk, VA 23517 | 2017-08-17 |
| 1245638899 | Americare Plus, LLC. | In Home Supportive Care | 2200 Colonial Avenue, Suite 15, Norfolk, VA 23517 | 2014-12-15 |
| 1932458478 | Carolyn Reed Hersh | Counselor | 117 W. 21st Street, Suite 206, Norfolk, VA 23517 | 2012-08-30 |
| 1487959342 | Harris Teeter, LLC | Pharmacy | 1320 Colonial Avenue, Norfolk, VA 23517 | 2011-01-24 |
| 1912133406 | Air Specialty Corp | Contractor | 121 East 25th St, Norfolk, VA 23517 | 2009-06-10 |
| 1568682292 | Jennifer S Derugen | Midwife | 1700 Hampton Blvd, Apt A, Norfolk, VA 23517 | 2007-04-26 |
| 1265568026 | Norfolk Integrative Manual Therapy | Physical Therapist | 350 22 St W., Suite 108, Norfolk, VA 23517 | 2007-02-26 |
| 1528133436 | Krysia B Witkowski | Physical Therapist | 350 W 22nd St, Suite 108, Norfolk, VA 23517 | 2006-11-24 |
| 1699846121 | Orthopaedic Associates of Virginia, Ltd | Neuromusculoskeletal Medicine, Sports Medicine | 953b West 21st St, Virginia Beach, VA 23517 | 2006-11-13 |
| 1265511596 | Philip G Davidson II | Social Worker | 327 W 21st Street, Suite 205, Norfolk, VA 23517 | 2006-11-06 |
| Find all providers in zip 23517 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1063065928 | Midtown Health Center, Inc. | Clinic/Center | 1101 N 18th St, Norfolk, NE 68701-2523 | 2019-07-19 |
| 1235782194 | Midtown Health Center, Inc. | Clinic/Center | 1106 W Phillip Ave, Norfolk, NE 68701-4921 | 2019-07-19 |
| 1649823501 | Midtown Health Center, Inc. | Clinic/Center | 1703 W Phillip Ave, Norfolk, NE 68701-4737 | 2019-07-19 |
| 1396303772 | Integrated Therapeutic Solutions | Clinic/Center | 900 Granby St Ste 251, Norfolk, VA 23510-2503 | 2019-05-31 |
| 1801302559 | Nicole Turner Beardslee Counseling | Clinic/Center | 3001 S 13th St, Norfolk, NE 68701-6603 | 2017-12-18 |
| 1457336075 | Apex Therapy Services LLC | Clinic/Center | 1306 Andrews Dr, Norfolk, NE 68701-2760 | 2005-12-07 |
| Find all providers in NORFOLK | ||||
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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.