Provider Demographics
NPI:1740176981
Name:GROVE COLLABORATIVE SERVICES
Entity type:Organization
Organization Name:GROVE COLLABORATIVE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALEXIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARGROVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-575-6081
Mailing Address - Street 1:1620 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23324-3124
Mailing Address - Country:US
Mailing Address - Phone:757-575-6081
Mailing Address - Fax:
Practice Address - Street 1:1620 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23324-3124
Practice Address - Country:US
Practice Address - Phone:757-575-6081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No177F00000XOther Service ProvidersLodging
No251300000XAgenciesLocal Education Agency (LEA)
No251V00000XAgenciesVoluntary or Charitable
No252Y00000XAgenciesEarly Intervention Provider Agency
No253J00000XAgenciesFoster Care Agency
No261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch
No405300000XOther Service ProvidersPrevention ProfessionalGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals