WESTERN TIDEWATER COMMUNITY SERVICES BOARD – Intellectual Disabilities Intermediate Care Facility, NPI 1386687549

WESTERN TIDEWATER COMMUNITY SERVICES BOARD is a healthcare provider. based in Suffolk, Virginia. specializing in Intellectual Disabilities Intermediate Care Facility. The organization holds a License No. 084-01-001 (VA). The NPI Number for WESTERN TIDEWATER COMMUNITY SERVICES BOARD is 1386687549

Main info

Organization
Name
WESTERN TIDEWATER COMMUNITY SERVICES BOARD
NPI
1386687549
Phone
(757) 966-2805
Address
7025 HARBOUR VIEW BLVD STE 119
Authorized Official
DEMETRIOS PERATSAKIS EXECUTIVE DIRECTOR
Enumeration Date
14 June 2006
Last Update Date
28 February 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for WESTERN TIDEWATER COMMUNITY SERVICES BOARD

  • 7025 HARBOUR VIEW BLVD STE 119

    SUFFOLK, VA 234352762

    Phone: (757) 966-2805

    Fax: (757) 673-2586

    Type: Mailing

  • Western Tidewater Community Services Board, 5268, Godwin Boulevard, Kingsdale, Suffolk, Suffolk (city), Virginia, 23434, United States

    SUFFOLK, VA 234348135

    Phone: (757) 255-7127

    Type: Mailing

  • Western Tiderwater Mental Health, 404, Finney Avenue, Suffolk, Virginia, 23434, United States

    SUFFOLK, VA 234343852

    Phone: (757) 255-7127

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23435)

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Reviews

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Frequently asked questions

What federal number belongs to WESTERN TIDEWATER COMMUNITY SERVICES BOARD?
The federal identifier for WESTERN TIDEWATER COMMUNITY SERVICES BOARD is NPI 1386687549.
Is WESTERN TIDEWATER COMMUNITY SERVICES BOARD's NPI currently valid?
The extract we use shows WESTERN TIDEWATER COMMUNITY SERVICES BOARD as active.
Can you summarize WESTERN TIDEWATER COMMUNITY SERVICES BOARD's specialty in plain language?
Clinically, the directory lists WESTERN TIDEWATER COMMUNITY SERVICES BOARD with Intellectual Disabilities Intermediate Care Facility. Clinical services aligned with this taxonomy classification.
Where is WESTERN TIDEWATER COMMUNITY SERVICES BOARD's primary listing?
We display Suffolk, Virginia because that is what the record indicates for WESTERN TIDEWATER COMMUNITY SERVICES BOARD.
How can I contact WESTERN TIDEWATER COMMUNITY SERVICES BOARD?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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