EASTERN GROVE SUPPORT LLC – NPI #1700694320
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
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.
EASTERN GROVE SUPPORT LLC is a residential treatment facility located in PORTSMOUTH, VA. NPPES has assigned the NPI number 1700694320 to EASTERN GROVE SUPPORT LLC on December 28, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
The NPI profile was last updated on Mar 18, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EASTERN GROVE SUPPORT LLC below.
NPI Profile for
EASTERN GROVE SUPPORT LLC
(more than a year ago)
PORTSMOUTH, VA 23704-2816 Phone: (833) 774-9633 Fax:
DIRECTOR
Phone: (833) 774-9633
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary) |
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| 261QM0850X - Clinic/Center / Adult Mental Health |
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| 261QM0801X - Clinic/Center / Mental Health (Including Community Mental Health Center) |
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| 251S00000X - Community/Behavioral Health |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.