Healthcare Provider Details

I. General information

NPI: 1750600953
Provider Name (Legal Business Name): CLEARVIEW SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2010
Last Update Date: 10/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4551 PROFESSIONAL CIR STE 102
VIRGINIA BEACH VA
23455-6442
US

IV. Provider business mailing address

PO BOX 6194
VIRGINIA BEACH VA
23456-0194
US

V. Phone/Fax

Practice location:
  • Phone: 757-301-1797
  • Fax: 866-819-4661
Mailing address:
  • Phone: 757-301-1797
  • Fax: 866-819-4661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberHCO-12624
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License NumberHCO-12624
License Number StateVA

VIII. Authorized Official

Name: MR. LORENZO BROOKS CLEMONS
Title or Position: PRESIDENT/CEO
Credential: MBA, DBA
Phone: 757-301-1797