Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ephraim Cruz

Individual provider Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1811508252

Ephraim Cruz is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Norfolk, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2020
Specialties on file
5
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Practice location Address checks out

8027 Camellia Rd
Norfolk, VA 23518-3416
Phone: (757) 227-1105
Fax: (757) 214-6634
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Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence 29911 (VA)
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X
Physical Disabilities Residential Treatment Facility Taxonomy 320700000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X
Private Vehicle Taxonomy 347C00000X

Record details

NPI number1811508252
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 10, 2020
Last updated in NPPESAugust 10, 2020
Certification dateAugust 10, 2020
Mailing address8027 Camellia Rd, Norfolk, VA 23518-3416

Other providers in Norfolk