CMJ POSITIVE CHANGE LLC NPI 1033216734

NPI Information

  • NPI: 1033216734
  • Provider Name: CMJ POSITIVE CHANGE LLC
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Former Legal Business Name: CMJ POSITIVE CHANGE LLC
  • Address: 202 LEE ST
    202 LEE ST
    SUFFOLK, VA
    ZIP 23434
  • Phone: (757) 923-1200

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NPI Details

CMJ POSITIVE CHANGE LLC is a residential treatment facility, intellectual and/or developmental disabilities in Suffolk, VA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. CMJ POSITIVE CHANGE LLC NPI is 1033216734. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Cmj Positive Change Llc.

The provider's business location address is:

202 LEE ST
202 LEE ST
SUFFOLK, VA
ZIP 23434-319
Phone: (757) 923-1200
Fax: (757) 638-7662

The provider's authorized official is Isalene D Anderson .
The authorized official title is Partner and has the following contact phone number (757) 342-4183.

The enumeration date for this NPI number is 9/17/2006 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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesVIRGINIAYes

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: 11/21/2025

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