OUR SUMMER PLACELLC NPI 1194839704

NPI Information

  • NPI: 1194839704
  • Provider Name: OUR SUMMER PLACE,LLC
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Address: 3511 BLAINE ST
    PORTSMOUTH, VA
    ZIP 23703
  • Phone: (757) 483-4880

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NPI Details

OUR SUMMER PLACE,LLC is a point of service in Portsmouth, VA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. OUR SUMMER PLACE,LLC NPI is 1194839704. The provider is registered as an organization entity type.

The provider's business location address is:

3511 BLAINE ST
PORTSMOUTH, VA
ZIP 23703-115
Phone: (757) 483-4880
Fax: (757) 483-1578

The provider's authorized official is Zatera A Spencer .
The authorized official title is Owner/administrator and has the following contact phone number (757) 966-9978.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 6/23/2008.

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
1305S00000XPoint of Service558VIRGINIAYes

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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