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Western Tidewater Community Services Board

Intellectual Disabilities Intermediate Care Facility in Suffolk, VA · enumerated 2006 · authorized official Demetrios Peratsakis, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275574402

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Registry record

Entity type Organization (Type 2)
Legal business name Western Tidewater Community Services Board
Practice address 437 Jackson St, Suffolk, VA, 23434
Phone (757) 255-7127
Enumeration date Jun 9, 2006
Last updated in NPPES Feb 28, 2023

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Demetrios Peratsakis
Title Executive Director
Phone (757) 966-2805

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Western Tidewater Community Services Board?
The NPI for Western Tidewater Community Services Board is 1275574402, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Western Tidewater Community Services Board?
NPPES lists Demetrios Peratsakis (Executive Director) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-02-28.