LA MARIPOSA LLC (NPI# 1275872400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275872400 |
| Entity Type | Organization |
| Organization Name | LA MARIPOSA LLC |
| Practice Address |
475 Water St Apt 604 Portsmouth VA 23704-3899 |
| Practice Telephone | 7574030429 |
| Mailing Telephone | 7574030429 |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |
| Authorized Official Name | MRS. GWENDOLYN LEE CARLISLE (OWNER/CEO) |
| Authorized Official Telephone | 7574030429 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2037 | VA | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | LA MARIPOSA LLC | 815 1st Ave E, Albany, OR 97321 |
| Virginia Business Entities | La Mariposa LLC | 4000 Legato Road, Suite 1100, Fairfax, Virginia 22033 |
| Street Address |
475 WATER ST APT 604 |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23704-3899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457973588 | Ralpheana Denee Lawton | Clinic/Center | 2317 Richmond Ave, Portsmouth, VA 23704 | 2020-05-12 |
| 1376079186 | Faithful Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1509 Parker Ave, Portsmouth, VA 23704 | 2017-05-11 |
| 1285184168 | Sarah Crawford | Counselor | Harbor Point, 301 Fort Lane, Portsmouth, VA 23704 | 2016-10-04 |
| 1295137560 | Sarah Lee Arnell Rogers | Registered Nurse | 935 Blair Steet, Portsmouth, VA 23704 | 2014-09-18 |
| 1396161212 | Cheryl Denise Mcneil | Home Health | 1416 Portsmouth Boulevard, Portsmouth, VA 23704 | 2014-03-17 |
| 1609173988 | Roberta Marie Hansel-union | Behavioral Analyst | 711 Court Street, Portsmouth, VA 23704 | 2011-02-22 |
| 1447560875 | Denise Anderson Anderson | Licensed Vocational Nurse | 1227 Summit Ave, Portsmouth, VA 23704 | 2010-10-19 |
| 1770890204 | Reymond G. Pascual Md.,pc | Specialist | 704 London Blvd, Portsmouth, VA 23704 | 2010-09-03 |
| 1184820003 | Charles Seth Eisenberg | Internal Medicine | Nmcp Cardiology, 620 John Paul Jones Cir, Portsmouth, VA 23704 | 2007-06-26 |
| 1902028251 | James Bentley Treatment Program | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1020 Leckie Street, Portsmouth, VA 23704 | 2007-05-03 |
| Find all providers in zip 23704 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451448 | Nikita S Banks | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 505 Cumberland Street Ave, Ste 2, Portsmouth, VA 23704-2370 | 2020-09-15 |
| 1497399893 | Makesha Danielle Brown | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20 Centre Port Cir, Portsmouth, VA 23703-5453 | 2019-10-30 |
| 1194281063 | Shands Therapeutic Solutions, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6958 Kenny Ln, Portsmouth, VA 23703-2640 | 2019-02-15 |
| 1982169751 | Saai, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1413 Welcome Rd, Portsmouth, VA 23701-3137 | 2019-02-06 |
| 1003382789 | Commonwealth Community Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1512 Loren Cres, Portsmouth, VA 23701-3717 | 2018-10-19 |
| 1649707837 | Ruth's House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2721 High St, Portsmouth, VA 23707-3521 | 2017-05-18 |
| 1891192795 | Prissy's Place LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 505 Roosevelt Blvd, Portsmouth, VA 23701-4118 | 2014-11-21 |
| 1356775480 | The Abundance Group | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 601 Thorne Ave, Portsmouth, VA 23701-3557 | 2013-08-26 |
| 1285930198 | Community Options, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1906 Laigh Rd, Portsmouth, VA 23701-2629 | 2011-02-10 |
| 1801108899 | Sarah's Place LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 305 Sandpiper Dr, Portsmouth, VA 23704-1641 | 2010-07-08 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23704 |
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| 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.