THERESA'-VENIA LLC NPI 1891863973

NPI Information

NPI: 1891863973
Provider Name: THERESA'-VENIA, LLC

Doing Business As: CORINE'S PLACE

Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address:
1536 CENTRE AVE
PORTSMOUTH, VA
ZIP 23704
Phone: (757) 967-9545
Get Directions

THERESA'-VENIA, LLC is an intermediate care facility mental illness in Portsmouth, VA. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. THERESA'-VENIA, LLC NPI is 1891863973. The provider is registered as an organization entity type.
The provider Is Doing Business As Corine's Place.

The provider's business location address is:

1536 CENTRE AVE
PORTSMOUTH, VA
ZIP 23704-802
Phone: (757) 967-9545

The provider's authorized official is Leolia Brown .
The authorized official title is Administrator Executive Director and has the following contact phone number (757) 513-2074.

The enumeration date for this NPI number is 11/30/2006 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	310500000X	Intermediate Care Facility, Mental Illness				Yes
2	315P00000X	Intermediate Care Facility, Intellectual Disabilities				X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0000005002	OTHER	VIRGINIA	TRACKING NO

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: 5/5/2024

NPI Synchronization or Removal

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