The Peninsula Community Care Center
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Newport News, VA. Organization (NPI-2).
Details
- NPI
- 1821491986
- Entity type
- Organization (NPI-2)
- Legal business name
- The Peninsula Community Care Center
- Organization subpart
- No
- Enumeration date
- Oct 3, 2014
- Last updated
- Oct 3, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 2327 | VA | Yes |
Practice location
913 Charlotte DrNewport News, VA 23601-1070
Phone 757-951-7432 · Fax 757-401-6492
Mailing address
10 Castle Haven RdHampton, VA 23666-6032
Phone 757-951-7432 · Fax 757-401-6492
Authorized official
Felicia Delphine Dyke
Ceo
7579517432
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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