DISTRICT 19 COMMUNITY SERVICES BOARD


Address: 20 W Bank St Ste 5, Petersburg, VA 23803-3279
Phone: 8048626082

DISTRICT 19 COMMUNITY SERVICES BOARD (NPI# 1669970646) 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) 1669970646
Entity Type Organization
Organization Name DISTRICT 19 COMMUNITY SERVICES BOARD
Practice Address 20 W Bank St Ste 5
Petersburg
VA 23803-3279
Mailing Address 20 W Bank St Ste 7
Petersburg
VA 23803-3279
Practice Telephone 8048626082
Practice Fax Number 8048626158
Mailing Telephone 8048626082
Mailing Fax Number 8048626158
Enumeration Date 2018-01-25
Last Update Date 2018-01-25
Authorized Official Name MRS. LISA A NEWBY (EXECUTIVE ASSISTANT)
Authorized Official Telephone 8048626082
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 252Y00000X Early Intervention Provider Agency 184 VA Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1669791984 District 19 Community Services Board Nursing Care 502 Sadler Dr, Emporia, VA 23847 2010-05-26
1679510226 District 19 Community Services Board Public Health or Welfare 5012 Selwood Rd, Richmond, VA 23234-4246 2006-06-01
1225094451 District 19 Community Services Board Early Intervention Provider Agency 20 W Bank St, Suite 2, Petersburg, VA 23803-3279 2006-04-25
1790113280 District 19 Community Services Board Community/Behavioral Health 232 Coppahaunk Ave, Waverly, VA 23890-5041 2013-10-22
1194760462 District 19 Community Services Board Social Worker 215 W Atlantic St, Emporia, VA 23847-1223 2006-06-19

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities DISTRICT 19 COMMUNITY SERVICES BOARD 20 West Bank Street Ste 2, Petersburg, VA 23803-3279

Office Location

Street Address 20 W BANK ST STE 5
City PETERSBURG
State VA
Zip Code 23803-3279

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760805212 Florise Dock Social Worker 20 W Bank St Ste 5, Petersburg, VA 23803-3279 2014-02-03
1760909865 Latoya Hospedales Counselor 20 W Bank St Ste 5, Petersburg, VA 23803-3279 2017-08-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619523719 Wise Journey Ltd Home Health 325-b Brown Street Suite 132, Petersburg, VA 23803 2019-08-14
1386101699 Marliqua Barnes Driver 601 Carter St, Petersburg, VA 23803 2019-02-22
1356596571 Quality Healthcare Inc Community/Behavioral Health 6111 Duncan Rd, Ste F, Petersburg, VA 23803 2008-12-02
1861614943 Peoples Family Dental Care Dentist 1328 W Washington St, Petersburg, VA 23803 2007-05-02
1841333721 Family Preservation Services, Inc Community/Behavioral Health 1000 Patterson Ave, Petersburg, VA 23803 2007-02-14
1154473155 Progressive Adult Rehabilitation Center, Inc. Day Training, Developmentally Disabled Services 114 North Union Street, Suite B, Petersburg, VA 23803 2007-01-18
1861556615 Evelyn V. Whitehead Counselor 115 E Wythe St, Petersburg, VA 23803 2006-12-19
1538248778 Raymond Gibson Smith Jr. Dentist Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 2006-11-06
1396842282 Eugene Arthur Richardson IIi Dentist 23 Shore Street, Petersburg, VA 23803 2006-09-20
1679594030 Olumuyiwa Akinniyi Ojediran Internal Medicine 734 South Sycamore Street, Petersburg, VA 23803 2006-07-21
Find all providers in zip 23803

Taxonomy Information

Taxonomy Code 252Y00000X
Grouping Agencies
Classification Early Intervention Provider Agency

Taxonomy Definition

Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.
Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225094451 District 19 Community Services Board Early Intervention Provider Agency 20 W Bank St, Suite 2, Petersburg, VA 23803-3279 2006-04-25
1497261598 Ernest Jeter, Msed Early Intervention Provider Agency 115 S Sycamore St Ste B, Petersburg, VA 23803-4279 2017-12-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487253852 Morina M Lamb Early Intervention Provider Agency 43 Sam St, Mcgaheysville, VA 22840-9230 2020-10-18
1578195590 Salatino Nutrition, LLC Early Intervention Provider Agency 9331 Crestfield Dr, Mechanicsville, VA 23116-2923 2020-02-07
1568929511 Commonwealth Therapy Company LLC Early Intervention Provider Agency 5133 Gardner Dr, Alexandria, VA 22304-7734 2019-02-26
1699239574 Lori Floyd Early Intervention Provider Agency 16885 Martinsville Hwy, Axton, VA 24054-1929 2019-01-25
1184198764 Colleen Cassidy Early Intervention Provider Agency 4326 Duke St, Alexandria, VA 22304-2528 2019-01-16
1518467133 City of Hampton Early Intervention Provider Agency 100 Old Hampton Lane, Suite 200, Hampton, VA 23669-4096 2018-02-20
1184135212 Star Specialized Therapies and Rehabilitation, LLC Early Intervention Provider Agency 100 N Irving St, Arlington, VA 22201-1048 2017-10-16
1386153955 Theresa Christian Early Intervention Provider Agency 4924 Merlin Ln, Glen Allen, VA 23060-4917 2017-09-26
1336658046 Bonnie F Dayton Early Intervention Provider Agency 610 Mountain Ave Sw, Roanoke, VA 24016-3838 2017-09-26
1952828329 Lisa Nielsen Early Intervention Provider Agency 2112 Maiden Lane Sw, Roanoke, VA 24015 2017-08-27
Find all providers with the same taxonomy

Competitor

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City PETERSBURG
Zip Code 23803

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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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