WESTERN TIDEWATER COMMUNITY SERVICES BOARD – Intellectual Disabilities Intermediate Care Facility, NPI 1922041177

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 1922041177

Main info

Organization
Name
WESTERN TIDEWATER COMMUNITY SERVICES BOARD
NPI
1922041177
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
Experience69
Completeness75
Years active:20State 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:

    Type: Mailing

  • Gq - Jayes Place, 1406, Blythewood Lane, Lake Kennedy Estates, Suffolk, Virginia, 23434, United States

    SUFFOLK, VA 234342804

    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

Does WESTERN TIDEWATER COMMUNITY SERVICES BOARD share an NPI with anyone else?
NPI numbers are unique to each provider or organization — WESTERN TIDEWATER COMMUNITY SERVICES BOARD uses 1922041177.
Is WESTERN TIDEWATER COMMUNITY SERVICES BOARD listed as active for patients and plans?
The listing shows WESTERN TIDEWATER COMMUNITY SERVICES BOARD as active in the NPI system.
What healthcare role does WESTERN TIDEWATER COMMUNITY SERVICES BOARD hold?
Scheduling teams often label WESTERN TIDEWATER COMMUNITY SERVICES BOARD under Intellectual Disabilities Intermediate Care Facility. Clinical services aligned with this taxonomy classification.
What area does WESTERN TIDEWATER COMMUNITY SERVICES BOARD serve?
WESTERN TIDEWATER COMMUNITY SERVICES BOARD's listing highlights Suffolk, Virginia; more addresses can appear in NPPES.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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