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:
Map and Directions
Authorized official contact:
Name: Eley, Ruby
Phone: (757) 275-7498

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578798849 NPPES
Virginia MEDICAID 23517

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