LAV'M ADULT RESIDENCE, INC.


Address: 912 So. Battlefield Blvd., Chesapeake, VA 23322-4213
Phone: 7575462810

LAV'M ADULT RESIDENCE, INC. (NPI# 1023262698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023262698
Entity Type Organization
Organization Name LAV'M ADULT RESIDENCE, INC.
Practice Address 912 So. Battlefield Blvd.
Chesapeake
VA 23322-4213
Practice Telephone 7575462810
Practice Fax Number 7575462921
Mailing Telephone 7575462810
Mailing Fax Number 7575462921
Enumeration Date 2008-11-10
Last Update Date 2009-02-23
Authorized Official Name MRS. VICTORIA REYES MAMARIL (PRESIDENT/ADMINISTRATOR)
Authorized Official Telephone 7575462810
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility ER02008-096 VA Nursing & Custodial Care Facilities

Office Location

Street Address 912 SO. BATTLEFIELD BLVD.
City CHESAPEAKE
State VA
Zip Code 23322-4213

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1528597911 Sara Osborne Speech-Language Pathologist 404 Mike Trail, Chesapeake, VA 23322 2017-06-08
1194100198 Kerry Maldiner Marriage & Family Therapist 501 Cedar Rd Ste 2c, Chesapeake, VA 23322 2015-07-21
1619361532 Kathryn Restaino Student in an Organized Health Care Education/Training Program 705 Forest Mills Rd, Chesapeake, VA 23322 2015-03-28
1083037212 Kenneth E. Grindlay Dentist 228 Mount Pleasant Rd., Chesapeake, VA 23322 2014-01-23
1841538006 Karen Mcquarrie Behavioral Analyst 1200 Jamaica Avenue, Chesapeake, VA 23322 2013-01-23
1255615886 Vera Roberts Jackson Pharmacist 321 Battlefield Blvd. South, Chesapeake, VA 23322 2011-09-30
1669754628 Jacqueline Dungan Pharmacist 201 Hanbury Road E, Chesapeake, VA 23322 2011-09-15
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

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1215928783 Sentara Life Care Corporation Assisted Living Facility 778 Oak Grove Rd, Chesapeake, VA 23320-3728 2005-11-02
1205471588 Safeway Residential LLC Assisted Living Facility 1907 Stonehurst St, Chesapeake, VA 23324-3357 2019-11-11
1124676846 Snh Va Tenant LLC Assisted Living Facility 2856 Forehand Dr, Chesapeake, VA 23323-2006 2019-08-27

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1508341231 Pamela Sonia Bynum-doles Assisted Living Facility 716 W 2nd Ave, Franklin, VA 23851-2102 2018-09-27
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Competitor

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City CHESAPEAKE
Zip Code 23322

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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