East End Academy Inc Southside
LBN: East End Academy Inc Southside
East End Academy Inc Southside is an health care organization with primary practice located at 2607 Colonial Avenue , Norfolk VA 23517. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
East End Academy Inc Southside can be contacted via phone (757) 275-7498, or through Eley, Ruby via phone (757) 275-7498.
Contact Information
Primary practice address
2607 Colonial Avenue
Norfolk VA 23517
Phone: (757) 275-7498
Fax: (757) 275-7561
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 320 | Virginia |
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | Virginia |
Profile Details
NPI number | 1578798849 |
---|---|
LBN Legal business name | East End Academy Inc Southside |
DBA Doing business as | East End Academy Inc Southside |
Authorized official | Eley, Ruby |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | May 15th, 2009 |
Last updated | Jul 21st, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578798849 | NPPES |
Virginia | MEDICAID | 23517 |
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