WEST PETERSBURG SENIOR ADULT CENTER
NPI 1215176565
Respite Care - Respite Care, Physical Disabilities, Child in Petersburg, VA

Active since February 10, 2009
25720 GREENSVILLE AVE, PETERSBURG, VA 23803(804) 861-1452(804) 861-8642 Get Directions Write a Review

NPPES record last updated: February 12, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About West Petersburg Senior Adult Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST PETERSBURG SENIOR ADULT CENTER (NPI 1215176565) is a healthcare organization registered as a respite care, physical disabilities, child in Petersburg, Virginia and active in the NPI registry since February 2009. The organization lists Peter R Jeffrey, Director, as its authorized official.

NPPES Registry Identity

NPI1215176565
Entity TypeOrganization
Primary Taxonomy385HR2065X
Legal Business NameWEST PETERSBURG SENIOR ADULT CENTER
Location Address25720 GREENSVILLE AVEPetersburg, VA 23803-8604
Mailing Address25720 Greensville AvePetersburg, VA 23803-8604 · (804) 861-1452 · Fax (804) 861-8642
Fax(804) 861-8642
Organization SubpartNo
Authorized OfficialPeter R JeffreyDirector · (804) 861-1452
Enumeration DateFebruary 10, 2009
Last NPPES UpdateFebruary 12, 2009
NPI 1215176565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRespite Care · Respite Care, Physical Disabilities, ChildRespite Care Facility
Taxonomy Code385HR2065X
License Licensed in VA · 20087298
Definition

A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.

25720 GREENSVILLE AVE, Petersburg, VA 23803

Other Identifiers 1

Medicaid20087298VA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is West Petersburg Senior Adult Center's NPI number?

The NPI number for West Petersburg Senior Adult Center is 1215176565. It was assigned to this organization in the NPPES registry on February 10, 2009.

Where is West Petersburg Senior Adult Center located?

West Petersburg Senior Adult Center is located at 25720 Greensville Ave, Petersburg, VA 23803. The listed phone number is (804) 861-1452.

What is West Petersburg Senior Adult Center's specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Physical Disabilities, Child, with taxonomy code 385HR2065X.

When was this NPI record last updated?

The NPPES record for West Petersburg Senior Adult Center was last updated on February 12, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.