KENNETH MOODY SR.
NPI 1639572068
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hampton, VA

Q: What is Kenneth Moody's NPI number?

The NPI number for Kenneth Moody is 1639572068. It was assigned to this individual provider in the NPPES registry on September 30, 2014.

Q: What is Kenneth Moody's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Moody was last updated on September 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 30, 2014

1043 ABERDEEN RD, HAMPTON, VA 23666(757) 597-1453(757) 838-7663 Get Directions Write a Review

NPPES record last updated: September 30, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Kenneth Moody Sr. NPPES

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

KENNETH MOODY SR. (NPI 1639572068) is an individual residential treatment facility, intellectual and/or developmental disabilities provider in Hampton, Virginia, licensed in Virginia (2599) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1639572068

Entity TypeIndividualMale

Primary Taxonomy320600000X

Provider Legal NameKENNETH MOODY SR.

Location Address1043 ABERDEEN RDHampton, VA 23666-4803

Mailing Address1043 Aberdeen RdHampton, VA 23666-4803 · (757) 597-1453 · Fax (757) 838-7663

Phone(757) 597-1453

Fax(757) 838-7663

Sole ProprietorYes

Enumeration DateSeptember 30, 2014

✔ NPI 1639572068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

License✔ Licensed in VA · 2599

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

1043 ABERDEEN RD, Hampton, VA 23666

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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 Kenneth Moody's NPI number?

The NPI number for Kenneth Moody is 1639572068. It was assigned to this individual provider in the NPPES registry on September 30, 2014.

Where is Kenneth Moody located?

Kenneth Moody practices at 1043 Aberdeen Rd, Hampton, VA 23666. The listed phone number is (757) 597-1453.

What is Kenneth Moody's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Kenneth Moody was last updated on September 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.