THERESA'-VENIA, LLC
NPI 1891863973
Intermediate Care Facility, Mental Illness in Portsmouth, VA
- Organization
- Intermediate Care Facility, Mental Illne...
About THERESA'-VENIA, LLC
This page provides the complete NPI Profile along with additional information for Theresa'-venia, Llc, a provider established in Portsmouth, Virginia operating as a Intermediate Care Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1891863973 assigned on November 2006. The practitioner's primary taxonomy code is 310500000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mrs. Leolia Brown (Administrator Executive Director)
- NPI
- 1891863973 Verify this NPI
- Provider Name
- THERESA'-VENIA, LLC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1536 CENTRE AVE PORTSMOUTH, VA 23704
- Location Phone
- (757) 967-9545
- Mailing Address
- 4107 PORTSMOUTH BLVD 101-35 CHESAPEAKE, VA 23321
- Mailing Phone
- (757) 513-2074
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-30-2006
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Intermediate Care Facility, Mental Illness
- Taxonomy Code
- 310500000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 315P00000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Intellectual Disabilities |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0000005002 | OTHER (01) | VA | TRACKING NO |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891863973, enumerated as an "organization" on November 30, 2006.
The provider is located at 1536 CENTRE AVE PORTSMOUTH, VA 23704 and the phone number is (757) 967-9545.
Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
