KENNETH MOODY SR.


Address: 1043 Aberdeen Rd, Hampton, VA 23666-4803
Phone: 7575971453

KENNETH MOODY SR. (NPI# 1639572068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639572068
Entity Type Individual
Full Name KENNETH MOODY SR.
Practice Address 1043 Aberdeen Rd
Hampton
VA 23666-4803
Practice Telephone 7575971453
Practice Fax Number 7578387663
Mailing Telephone 7575971453
Mailing Fax Number 7578387663
Enumeration Date 2014-09-30
Last Update Date 2014-09-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2599 VA Residential Treatment Facilities

Office Location

Street Address 1043 ABERDEEN RD
City HAMPTON
State VA
Zip Code 23666-4803

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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699249839 Keira Michelle Jackson Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 424 Big Bethel Rd, Hampton, VA 23666-3732 2019-01-21
1548650690 Refuge Family Care Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 11898 Quail Rd, Hampton, GA 30228-6294 2015-01-28
1376872465 B&m Group Homes,llc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 707 New Bern Ave, Hampton, VA 23669-1308 2009-12-18
1104911122 Child of God Group Homesllc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 633 Ridgeway Ave, Hampton, VA 23661-1413 2006-10-04
1922015577 Versability Resources, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2520 58th St, Hampton, VA 23661-1228 2006-08-02
1083640676 Caring Family Home, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1933 Mcculloch Rd, Hampton, VA 23663-1014 2006-06-24

Providers in the same taxonomy and state

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1568069987 New Development Services LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4610 Milfax Rd, North Chesterfield, VA 23224-5604 2020-10-08
1114524766 Latoya Steward Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 805 Admiral Gravely Blvd, Richmond, VA 23231 2020-10-07
1780281808 Romco Enterprises, Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3409 Scott St, Portsmouth, VA 23707-4001 2020-10-01
1710596051 Dare To Dream Family Services, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2905 Steed Ct, Chesapeake, VA 23323-2843 2020-07-22
1780208660 Excel Family Services of Virginia, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1100 Hubbell Dr, Virginia Beach, VA 23454-5633 2020-06-05
1366064313 Monica Lotoria Ballou Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1345 N Main St, Danville, VA 24540-3721 2020-05-13
1790306934 Serenity Residential Servicess, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6225 Wilmington Dr, Burke, VA 22015-3828 2020-04-28
1407483316 Lighthouse Residential Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 5219 Summerleaf Dr, North Chesterfield, VA 23234-2817 2020-03-23
1457983538 Rokel Health Care Services LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 7905 Dassett Ct Apt 304, Annandale, VA 22003-4878 2020-02-06
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Competitor

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City HAMPTON
Zip Code 23666

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Dataset Information

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.

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