Healthcare Provider Details

I. General information

NPI: 1457285868
Provider Name (Legal Business Name): COMPASSIONATE COMMUNITY COMPLEX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 DOWNES ST
HAMPTON VA
23663-1813
US

IV. Provider business mailing address

210 DOWNES ST
HAMPTON VA
23663-1813
US

V. Phone/Fax

Practice location:
  • Phone: 443-310-5573
  • Fax: 443-310-5573
Mailing address:
  • Phone: 443-310-5573
  • Fax: 443-310-5573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: COURTNEY D JOYNER
Title or Position: OWNER
Credential: LMSW
Phone: 443-310-5573