Provider Demographics
NPI: | 1366327579 |
---|---|
Name: | DETRON HEALTH SERVICES |
Entity type: | Organization |
Organization Name: | DETRON HEALTH SERVICES |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | TRONTO |
Authorized Official - Middle Name: | MCCOY |
Authorized Official - Last Name: | MASHELL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 248-497-8767 |
Mailing Address - Street 1: | 178 QUARTER TRL |
Mailing Address - Street 2: | |
Mailing Address - City: | NEWPORT NEWS |
Mailing Address - State: | VA |
Mailing Address - Zip Code: | 23608-5004 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 248-497-8767 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 178 QUARTER TRL |
Practice Address - Street 2: | |
Practice Address - City: | NEWPORT NEWS |
Practice Address - State: | VA |
Practice Address - Zip Code: | 23608-5004 |
Practice Address - Country: | US |
Practice Address - Phone: | 248-497-8767 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-08-07 |
Last Update Date: | 2025-08-07 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251J00000X | Agencies | Nursing Care | |
No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | |
No | 253Z00000X | Agencies | In Home Supportive Care | |
No | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care |
No | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center | Developmental Disabilities |
No | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness |
No | 3104A0630X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Behavioral Disturbances |
No | 313M00000X | Nursing & Custodial Care Facilities | Nursing Facility/Intermediate Care Facility | |
No | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
No | 322D00000X | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children | |
No | 342000000X | Transportation Services | Transportation Network Company |