VOLUNTEERS OF AMERICA CHESAPEAKE, INC. (NPI# 1760419113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760419113 |
| Entity Type | Organization |
| Organization Name | VOLUNTEERS OF AMERICA CHESAPEAKE, INC. |
| Other Organization Name | NORTHERN VIRGINIA COMMUNITY LIVING CENTERS |
| Practice Address |
12940 Harbor View Drive Woodbridge VA 23462 |
| Mailing Address |
12940 Harbor View Drive Woodbridge VA 22192 |
| Practice Telephone | 3013893156 |
| Practice Fax Number | 3013893195 |
| Mailing Telephone | 3013893156 |
| Mailing Fax Number | 3013893166 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2013-01-03 |
| Authorized Official Name | MS. CONNIE C PRICE (DIRECTOR OPERATIONS) |
| Authorized Official Telephone | 3013893166 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 175-01-001 | VA | Residential Treatment Facilities |
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 175-01-001 | VA | Residential Treatment Facilities |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4947941 | VA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4948419 | 05 | |
| VA | 4948149 | 05 |
| Other Name | Type Code |
|---|---|
| Northern Virginia Community Living Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619514957 | Volunteers of America Chesapeake, Inc. | Substance Abuse Rehabilitation Facility | 1554 Columbia Pike, Arlington, VA 22204-4667 | 2019-12-05 |
| 1770843526 | Volunteers of America Chesapeake, Inc. | Intermediate Care Facility, Mentally Retarded | 431 53rd St Se, Washington, DC 20019-6171 | 2012-05-25 |
| 1184984064 | Volunteers of America Chesapeake, Inc. | Intermediate Care Facility, Mentally Retarded | 6520 1st St Nw, Washington, DC 20012-2124 | 2012-05-24 |
| 1336409218 | Volunteers of America Chesapeake, Inc. | Intermediate Care Facility, Mentally Retarded | 3020 Stanton Rd Se, Washington, DC 20020-7866 | 2012-05-24 |
| 1801156781 | Volunteers of America Chesapeake, Inc. | Intermediate Care Facility, Mentally Retarded | 1230 Congress St Se, Washington, DC 20032-4543 | 2012-05-24 |
| 1598025694 | Volunteers of America Chesapeake, Inc. | Intermediate Care Facility, Mentally Retarded | 4515 Edson Pl Ne, Washington, DC 20019-4768 | 2012-05-22 |
| 1124274410 | Volunteers of America Chesapeake, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1785 Verbena Street Nw, Washington, DC 20012 | 2008-08-18 |
| 1336177427 | Volunteers of America Chesapeake, Inc. | Voluntary or Charitable | 5677 Herbert Moore Road, Virginia Beach, VA 23462 | 2006-06-29 |
| Street Address |
12940 HARBOR VIEW DRIVE |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 23462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891327417 | Perfect Home Support, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13662 Office Pl Ste 104, Woodbridge, VA 22192-4217 | 2020-02-11 |
| 1164076790 | Home Away Residential Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4304 Eldorado Dr, Woodbridge, VA 22193-2716 | 2019-07-31 |
| 1831755958 | Blessed Support Professionals, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14511 Jefferson Davis Hwy # A, Woodbridge, VA 22191-2807 | 2019-05-14 |
| 1588229306 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1482 Rahway Ave, Apt 103, Woodbridge, NJ 07001 | 2019-05-07 |
| 1942800594 | E & E Residential Support Professionals LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15337 Barnabas Trl, Woodbridge, VA 22193-5566 | 2020-10-30 |
| 1871113936 | Applied Group Home Solutions LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1986 Opitz Blvd, Woodbridge, VA 22191-3304 | 2020-04-19 |
| 1740834068 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1482 Rahway Avenue, Apt 227, Woodbridge, NJ 17001-0850 | 2019-07-25 |
| 1285288688 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1482 Rahway Avenue, Apt. 106, Woodbridge, NJ 17001 | 2019-07-25 |
| 1689227019 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1482 Rahway Avenue, Apt 117, Woodbridge, NJ 17001-0850 | 2019-07-24 |
| 1497308829 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1482 Rahway Avenue, Apt 113, Woodbridge, NJ 08501-0850 | 2019-07-24 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 23462 |
Please comment or provide details below to improve the information on VOLUNTEERS OF AMERICA CHESAPEAKE, INC..
| 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.