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EASTERN GROVE SUPPORT LLC
NPI 1700694320
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Portsmouth, VA

Active since December 28, 2024
355 CRAWFORD ST, PORTSMOUTH, VA 23704(833) 774-9633 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Mar 18, 2026, May 30, 2025, Jan 2, 2025 and 1 more (4 updates tracked since 2024).

About Eastern Grove Support Llc NPPES

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

EASTERN GROVE SUPPORT LLC (NPI 1700694320) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Portsmouth, Virginia and active in the NPI registry since December 2024. The organization maintains a secondary practice location in Norfolk and lists Keenen Mapp, Director, as its authorized official.

NPPES Registry Identity

NPI1700694320
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameEASTERN GROVE SUPPORT LLC
Location Address355 CRAWFORD STPortsmouth, VA 23704-2816
Mailing Address355 Crawford StPortsmouth, VA 23704-2816 · (757) 392-9337
Phone(833) 774-9633
Organization SubpartNo
Authorized OfficialKeenen MappDirector · (833) 774-9633
Enumeration DateDecember 28, 2024
Last NPPES UpdateJune 16, 20264 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
✔ NPI 1700694320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
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.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
355 CRAWFORD ST, Portsmouth, VA 23704
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Secondary Practice Location 1

Location 11255 W Ocean View AveNorfolk, VA 23503-1123 · Phone (757) 998-8168

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAWNDRIKA WILKERSON
Massage Therapist
355 CRAWFORD ST
PORTSMOUTH, VA 23704
Portsmouth City (757) 577-4541
ARLEEN SOBEL CRNA
Nurse Anesthetist, Certified Registered
355 CRAWFORD ST, SUITE 808
PORTSMOUTH, VA 23704
Portsmouth City (757) 399-7451
THE ARKK GROUP, LLC
Day Training, Developmentally Disabled Services
355 CRAWFORD ST, STE 333
PORTSMOUTH, VA 23704
Portsmouth City (757) 397-1345
CREATING CHANCES OF CHANGE BEHAVIORAL & MENTAL HEALTH SERVICES
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
355 CRAWFORD ST
PORTSMOUTH, VA 23704
Portsmouth City (833) 774-9633
GRACEPOINT MEDICAL AND WELLNESS CENTER
Clinic/Center (Multi-Specialty)
355 CRAWFORD ST, SUITE 102
PORTSMOUTH, VA 23704
Portsmouth City (757) 966-1270
RISE BEHAVIORAL HEALTH, LLC
Clinic/Center (Adult Mental Health)
355 CRAWFORD ST
PORTSMOUTH, VA 23704
Portsmouth City (757) 394-4523
VIRGINIA CHIROPRACTIC ASSOCIATES
Chiropractor
355 CRAWFORD ST, SUITE 506
PORTSMOUTH, VA 23704
Portsmouth City (757) 399-4700
PAUL C. DAVIS, MD
Radiology (Diagnostic Radiology)
355 CRAWFORD ST, SUITE 102
PORTSMOUTH, VA 23704
Portsmouth City (757) 397-3400

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 Eastern Grove Support LLC's NPI number?

The NPI number for Eastern Grove Support LLC is 1700694320. It was assigned to this organization in the NPPES registry on December 28, 2024.

Where is Eastern Grove Support LLC located?

Eastern Grove Support LLC is located at 355 Crawford St, Portsmouth, VA 23704. The listed phone number is (833) 774-9633.

What is Eastern Grove Support LLC'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 Eastern Grove Support LLC was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.