POWERLINE COMMUNITY DEVELOPMENT CORP. (NPI# 1881833432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881833432 |
| Entity Type | Organization |
| Organization Name | POWERLINE COMMUNITY DEVELOPMENT CORP. |
| Other Organization Name | ELAM HOUSE |
| Practice Address |
610 Brooke St Newport News VA 23605-1506 |
| Mailing Address |
6148 Jefferson Ave Newport News VA 23605-1557 |
| Practice Telephone | 7578276937 |
| Practice Fax Number | 7578276940 |
| Mailing Telephone | 7578276937 |
| Mailing Fax Number | 7578276940 |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2010-05-27 |
| Authorized Official Name | MRS. ROSE ELAM (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7578276937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | VA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| ELAM HOUSE | Doing Business As Name - Organization |
| Street Address |
610 BROOKE ST |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23605-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104165703 | First Choice Companion Service, LLC | In Home Supportive Care | 709 Austin Court, Newport News, VA 23605 | 2013-02-04 |
| 1679869036 | Sailaja Dandamudi | Internal Medicine | 48 New Market Square, Jencare Neighborhood Medical New Market, LLC, Newport News, VA 23605 | 2011-06-23 |
| 1619261633 | Pmr Meds | Specialist | 48 Newmarket Square, Newport News, VA 23605 | 2011-06-07 |
| 1316105968 | Mila-jane Lovejoy | Pharmacist | 6111 Jefferson Ave, Newport News, VA 23605 | 2008-05-30 |
| 1073660189 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 100 New Market Drive North, Hampton, VA 23605 | 2007-01-04 |
| 1558702159 | Olisaemeka Ifejika Achike | Internal Medicine | 48 Newmarket Sq, Newport News, VA 23605 | 2013-07-11 |
| 1710220132 | Ashly Nicole Hardin | Family Medicine | 48 Newmarket Sq, Newport News, VA 23605 | 2013-04-03 |
| 1366786774 | Wal-mart Stores East Lp | Technician/Technologist | 6111 Jefferson Ave, Newport News, VA 23605 | 2012-11-26 |
| 1518222785 | Claire Han Li | Internal Medicine | 48 New Market Square, Jencare Neighborhood Medical New Market, LLC, Newport News, VA 23605 | 2012-07-12 |
| 1396016838 | Chang O Son | Internal Medicine | 48 New Market Square, Jencare Neighborhood Medical New Market, LLC, Newport News, VA 23605 | 2012-01-13 |
| Find all providers in zip 23605 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194105346 | Tamara Doud | Residential Treatment Facility, Emotionally Disturbed Children | 165 Motoka Dr Apt 1, Newport News, VA 23602-4053 | 2015-06-03 |
| 1407957822 | Intercept Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 11622 Warwick Blvd, Newport News, VA 23601-2345 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336619667 | The Discovery School of Virginia, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2697 Copper Mine Road, Dillwyn, VA 23936-2393 | 2018-11-29 |
| 1184102188 | Limitless Growth | Residential Treatment Facility, Emotionally Disturbed Children | 115 Reese Dr, Danville, VA 24540-1185 | 2018-08-01 |
| 1871099721 | Imagination LLC | Residential Treatment Facility, Emotionally Disturbed Children | 318 N Wilkinson Rd, Richmond, VA 23227-1631 | 2018-03-31 |
| 1245698935 | Summer House | Residential Treatment Facility, Emotionally Disturbed Children | 16056 Elderly Ln, Timberville, VA 22853-2922 | 2016-02-09 |
| 1679953871 | Just Understanding My Priorities | Residential Treatment Facility, Emotionally Disturbed Children | 7109 Barry Rd, Alexandria, VA 22315-3408 | 2015-06-02 |
| 1538507983 | Alc Youth & Family Services, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 14200 Kentwood Forest Dr, Chester, VA 23831-8029 | 2013-06-07 |
| 1366790107 | Hamlet House Youth Services, IIi LLC | Residential Treatment Facility, Emotionally Disturbed Children | 206 Carlstone Dr, Highland Springs, VA 23075-2503 | 2012-08-28 |
| 1417214149 | Turning Point Home for Boys, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4701 Stonehurst Dr, Woodbridge, VA 22192-5727 | 2012-04-19 |
| 1699046094 | Intercept Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 410 Adkins Rd, North Chesterfield, VA 23236-2833 | 2012-01-18 |
| 1851673230 | Nu-start Youth Intervention Services LLC | Residential Treatment Facility, Emotionally Disturbed Children | 5039 Backlick Rd, Suite A, Annandale, VA 22003-6046 | 2011-09-13 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT NEWS |
| Zip Code | 23605 |
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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.