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MARCUS TYRONE JOHNSON
NPI 1922880145
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Suffolk, VA

Active since October 23, 2023
6226 HEATHER GLEN DR, SUFFOLK, VA 23435(757) 374-1741 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marcus Tyrone Johnson NPPES

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

MARCUS TYRONE JOHNSON (NPI 1922880145) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Suffolk, Virginia, licensed in Virginia (7924) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1922880145
Entity TypeIndividualMale
Primary Taxonomy320900000X
Provider Legal NameMARCUS TYRONE JOHNSON
Location Address6226 HEATHER GLEN DRSuffolk, VA 23435-3133
Mailing Address6226 Heather Glen DrSuffolk, VA 23435-3133 · (757) 374-1741
Phone(757) 374-1741
Sole ProprietorYes
Enumeration DateOctober 23, 2023
NPPES CertifiedOctober 21, 2023
✔ NPI 1922880145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in VA · 7924
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
6226 HEATHER GLEN DR, Suffolk, VA 23435
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Other Providers at the Same Location NPPES

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

ENTRUSTED HANDS
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
6226 HEATHER GLEN DR
SUFFOLK, VA 23435
Suffolk City (757) 374-1741

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 Marcus Johnson's NPI number?

The NPI number for Marcus Johnson is 1922880145. It was assigned to this individual provider in the NPPES registry on October 23, 2023.

Where is Marcus Johnson located?

Marcus Johnson practices at 6226 Heather Glen Dr, Suffolk, VA 23435. The listed phone number is (757) 374-1741.

What is Marcus Johnson's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Marcus Johnson was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.