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NPI Code Detail

MEDICARE: BRAXTON FAMILY SERVICES

MEDICARE: BRAXTON FAMILY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2251E00000XHome Health Agency
3253Z00000XIn Home Supportive Care Agency
4251G00000XCommunity Based Hospice Care Agency
5320800000XMental Illness Community Based Residential Treatment Facility
6320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility
7251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1730038886
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRAXTON FAMILY SERVICES
Provider Business Mailing Address
First Line : 620 DOWNING ST
Second Line :
City : HAMPTON
State : VA
Zip : 23661-1406
Country : US
Telephone Number : 252-690-1254
Fax Number :
Provider Business Practice Location Address
First Line : 620 DOWNING ST
Second Line :
City : HAMPTON
State : VA
Zip : 23661-1406
Country : US
Telephone Number : 252-690-1254
Fax Number :
Authorized Official
Title or Position : CEO/MANAGER
Name : DAKARIE AMON PURNELL
Credential :
Telephone Number : 252-690-1254
Provider Enumeration Date : 01/22/2026
Last Update Date : 06/03/2026

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Directions to “BRAXTON FAMILY SERVICES ” Practice Location

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