INTERFAITH ADULT DAY CARE, INC. (NPI# 1871971770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871971770 |
| Entity Type | Organization |
| Organization Name | INTERFAITH ADULT DAY CARE, INC. |
| Practice Address |
201 Walnut Blvd Petersburg VA 23805-2025 |
| Mailing Address |
201 Walnut Blvd P.o. Box 3272 Petersburg VA 23805-2025 |
| Practice Telephone | 8047323919 |
| Practice Fax Number | 8047322163 |
| Mailing Telephone | 8047323919 |
| Mailing Fax Number | 8047322163 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |
| Authorized Official Name | MS. JACQUELINE DELORES MEALING (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8047323919 |
| Authorized Official Credential | B.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
ADC14950036 | VA | Ambulatory Health Care Facilities |
| Street Address |
201 WALNUT BLVD |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750757035 | Piece of Mind Home Health Care Agency | Clinic/Center | 836 Lunice Creek Hwy, Petersburg, WV 26847-7528 | 2015-08-20 |
| 1942699889 | Loving Years Adult Daycare Center Inc | Clinic/Center | 2793 S Crater Rd Ste H, Petersburg, VA 23805-2472 | 2015-01-15 |
| 1104373711 | Peace of Mind Adult Medical Day Care Agency, Inc | Clinic/Center | 836 Lunice Creek Hwy, Petersburg, WV 26847-7528 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674199 | Brighter Prospective Residential Services, LLC | Clinic/Center | 2509 Tonoka Rd, Richmond, VA 23223-1739 | 2020-09-19 |
| 1396368288 | Tisha L Gholson | Clinic/Center | 4600 Winterbourne Dr, South Chesterfield, VA 23803-1727 | 2020-05-26 |
| 1457973588 | Ralpheana Denee Lawton | Clinic/Center | 2317 Richmond Ave, Portsmouth, VA 23704 | 2020-05-12 |
| 1861024317 | Semmes Ave Adult Daycare | Clinic/Center | 1500 Semmes Ave, Richmond, VA 23224-2072 | 2020-02-12 |
| 1033749445 | Vector Pathways LLC | Clinic/Center | 1300 Hopeman Pkwy, Waynesboro, VA 22980-1950 | 2020-01-24 |
| 1720618184 | Egbert Charles Mcfarlane | Clinic/Center | 1314 E Nine Mile Rd, Henrico, VA 23075-2306 | 2020-01-23 |
| 1205472586 | Oneda Care LLC | Clinic/Center | 5900 Brook Rd, Richmond, VA 23227-2258 | 2019-11-21 |
| 1760039010 | Christine Blair-wallace | Clinic/Center | 788 Bellwood Rd, Hampton, VA 23666-2806 | 2019-08-21 |
| 1801443403 | Cura Solutions LLC | Clinic/Center | 4312 Welford Ave, Richmond, VA 23234-2357 | 2019-08-20 |
| 1336793736 | Ebenezery Adult Day Services, LLC | Clinic/Center | 6321 Jahnke Rd, Richmond, VA 23225-4142 | 2019-07-25 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
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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.