OrganizationActive
City of Virginia Beach Human Services
NPI 1407917347 · Intellectual Disabilities Intermediate Care Facility · Virginia Beach, VA
Provider details
- NPI number
- 1407917347
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Margaret Bailey, Reimbursement Manager(757) 385-0687
- License
- 261-01-001 (VA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
145 S Kentucky Ave
Virginia Beach, VA 23452-2382
Phone: (757) 437-6275
Approximate (ZIP-level) locationGet directions
Mailing address
3432 Virginia Beach Blvd
Virginia Beach, VA 23452-4420
Other names (DBA / former)
- Other name
- Kentucky Ave Icf Mr
- Other name
- Kentucky Ave Icf Mr
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2022-04-18
- Certified
- 2022-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.