HOLIDAY HOUSE OF PORTSMOUTH INC. NPI 1013989276

NPI Information

NPI: 1013989276
Provider Name: HOLIDAY HOUSE OF PORTSMOUTH, INC.
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

CLIA Number: 49D2206266

Address:
4211 COUNTY ST
PORTSMOUTH, VA
ZIP 23707
Phone: (757) 397-6352
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HOLIDAY HOUSE OF PORTSMOUTH, INC. is an intermediate care facility mentally retarded in Portsmouth, VA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. HOLIDAY HOUSE OF PORTSMOUTH, INC. NPI is 1013989276. The provider is registered as an organization entity type.

The provider's business location address is:

4211 COUNTY ST
PORTSMOUTH, VA
ZIP 23707-512
Phone: (757) 397-6352
Fax: (757) 399-2356

The provider's authorized official is Norma Batson Megill .
The authorized official title is Business Manager and has the following contact phone number (757) 397-6352.

The CLIA number assigned to this NPI record is 49D2206266 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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