Healthcare Provider Details

I. General information

NPI: 1952246340
Provider Name (Legal Business Name): NIHIRA CARE NETWORK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 RICHNECK RD
NEWPORT NEWS VA
23608-1315
US

IV. Provider business mailing address

500 RICHNECK RD
NEWPORT NEWS VA
23608-1315
US

V. Phone/Fax

Practice location:
  • Phone: 757-329-4181
  • Fax:
Mailing address:
  • Phone: 757-329-4181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: TAHIRA S MOODY
Title or Position: CEO
Credential: RN
Phone: 757-329-4181