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General NPI Number Information
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NPI Number | 1245137033
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Entity Type | Organization
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Legal Business Name | COMPASSION COVE
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Dates
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Enumeration Date | 10/23/2026
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Last Update Date | 10/23/2026
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Provider Practice Location Address
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Address Line | 5208 PRESTWICK ST
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-8131
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Country | US
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Telephone | 757-652-1875
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Fax |
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Provider Business Mailing Address
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Address Line | 5208 PRESTWICK ST
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-8131
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Country | US
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Telephone | 757-652-1875
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RAVEN YOUNG
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Credential |
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Telephone | 757-652-1875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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