BARRETT HOUSE – NPI #1669558813
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

BARRETT HOUSE is a community based residential treatment facility located in SUFFOLK, VA. NPPES has assigned the NPI number 1669558813 to BARRETT HOUSE on October 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BARRETT HOUSE” is a dba name, the actual legal business name for this organization is WESTERN TIDEWATER COMMUNITY SERVICES BOARD. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 BARRETT HOUSE below.

NPI Profile for
WESTERN TIDEWATER COMMUNITY SERVICES BOARD

NPI Number
1669558813
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WESTERN TIDEWATER COMMUNITY SERVICES BOARD
Doing Business As (dba): BARRETT HOUSE
Primary location
130 SUBURBAN DR
SUFFOLK, VA 23434-2625
Phone: (757) 255-7127 Fax:
Mailing address
5268 GODWIN BLVD
SUFFOLK, VA 23434-8135
Phone: (757) 255-7127 Fax:
Organization Subpart
No
Authorized Official
DEMETRIOS PERATSAKIS
EXECUTIVE DIRECTOR
Phone: (757) 255-7127
Updated
Taxonomy Code(s)

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
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

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.