Phoenix Aspiration System Of Care Llc

LBN: Phoenix Aspiration System Of Care Llc
Phoenix Aspiration System Of Care Llc is an health care organization with primary practice located at 2710 Elm Ave , Portsmouth VA 23704-7013. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Phoenix Aspiration System Of Care Llc can be contacted via phone (757) 393-5850, or through Hector, Joseph M. via phone (757) 393-5850.

Contact Information

Primary practice address
2710 Elm Ave Portsmouth VA 23704-7013
Phone: (757) 393-5850
Fax: (757) 393-5853
Website:
Map and Directions
Authorized official contact:
Name: Hector, Joseph M.
Phone: (757) 393-5850

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 731-01-001 Virginia

Profile Details

NPI number 1306096649
LBN Legal business name Phoenix Aspiration System Of Care Llc
DBA Doing business as
Authorized official Hector, Joseph M.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2008
Last updated Sep 23rd, 2008 - about 18 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 1306096649 NPPES
Virginia MEDICAID 0101495098

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