EDIFYING LIVES (NPI# 1902203235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902203235 |
| Entity Type | Organization |
| Organization Name | EDIFYING LIVES |
| Practice Address |
204 W 33rd St Norfolk VA 23504-1408 |
| Practice Telephone | 7573339264 |
| Mailing Telephone | 7573339264 |
| Mailing Fax Number | 7573339264 |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |
| Authorized Official Name | LATONYA WEBB (DIRECTOR) |
| Authorized Official Telephone | 7573339264 |
| 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 | OHS 2089 | VA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 2089 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Edifying Lives LLC | 204 W 33rd Street, Norfolk, Virginia 23504 |
| Street Address |
204 W 33RD ST |
| City | NORFOLK |
| State | VA |
| Zip Code | 23504-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932766391 | Naketa Hayes | Nurse's Aide | 958 Saint Julian Ave, Norfolk, VA 23504 | 2019-05-21 |
| 1114581931 | Kathleen S Thomas | Specialist/Technologist | 700 Park Avenue Brc-110, Norfolk, VA 23504 | 2019-04-26 |
| 1770008831 | Michelle Denise Dunn | Home Health | 1015 Saint Julian Ave, Norfolk, VA 23504 | 2017-08-10 |
| 1235654294 | International Home Health Care | Home Health | 1015 Saint Julian Ave., Norfolk, VA 23504 | 2017-08-10 |
| 1528513835 | The Healthy Living Center Foundation C/o Primary Care Specialists, Inc | Preferred Provider Organization | 930 Majestic Avenue, Suite 110, Norfolk, VA 23504 | 2016-08-17 |
| 1619355922 | Healing Hands Massages | Health Maintenance Organization | 2581 Westminster Ave, Norfolk, VA 23504 | 2015-05-07 |
| 1790037554 | Briggs Home Health Agency | Home Health | 1751 Church St Suite A, Norfolk, VA 23504 | 2012-10-03 |
| 1336318179 | Freeman House, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2909 E Virginia Beach Blvd, Norfolk, VA 23504 | 2008-02-26 |
| 1720146087 | Norfolk Eye Physicians & Surgeons Ltd. | Ophthalmology | 1005 May Avenue, Norfolk, VA 23504 | 2006-12-05 |
| 1659441814 | Norfolk Community Health Center Inc | Family Medicine | 1401 Tidewater Drive, Ste 1, Norfolk, VA 23504 | 2006-11-08 |
| Find all providers in zip 23504 | ||||
| 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 |
|---|---|---|---|---|
| 1760952592 | R&r Residential, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2714 Sewells Point Rd, Norfolk, VA 23513 | 2018-12-05 |
| 1114427218 | Patrese Onai Brown | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3571 N Ingleside Dr, Norfolk, VA 23502-4246 | 2018-02-15 |
| 1104346238 | Aza LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 944 Pollard St, Norfolk, VA 23504-1932 | 2017-06-20 |
| 1528508264 | Family Extensions, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 779 Lesner Ave, Norfolk, VA 23518-2503 | 2017-02-28 |
| 1164978656 | Camellia House LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8027 Camellia Rd, Norfolk, VA 23518-3416 | 2016-08-25 |
| 1154774008 | E D & Thomas Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2527 E Virginia Beach Blvd, Norfolk, VA 23504-3625 | 2016-07-15 |
| 1013394089 | Loving Grace House LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3642 Riverside Dr, Norfolk, VA 23502-4356 | 2015-04-29 |
| 1063829380 | Anne's Group Home Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 722 Lexington St, Norfolk, VA 23504-2427 | 2014-07-18 |
| 1184037764 | Dailey Divine Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7929 Merritt St, Norfolk, VA 23518-3744 | 2014-06-11 |
| 1639596273 | La Mariposa, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3568 Karlin Ave, Norfolk, VA 23502-3111 | 2014-03-20 |
| Find all providers in NORFOLK | ||||
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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.