Healthcare Provider Details

I. General information

NPI: 1639500077
Provider Name (Legal Business Name): HEALTH CARE SERVICES OF HAMPTON ROADS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2013
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5335 E VIRGINIA BEACH BLVD
NORFOLK VA
23502-3408
US

IV. Provider business mailing address

5335 E VIRGINIA BEACH BLVD
NORFOLK VA
23502-3408
US

V. Phone/Fax

Practice location:
  • Phone: 757-624-6500
  • Fax: 757-627-8079
Mailing address:
  • Phone: 757-624-6500
  • Fax: 757-627-8079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number StateVA

VIII. Authorized Official

Name: KATRINA CHASE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 757-624-6500