DUBIES LOVE RESIDENTIAL SERVICES LLC NPI 1235461070

NPI Information

NPI: 1235461070
Provider Name: DUBIES LOVE RESIDENTIAL SERVICES LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
2500 ALMEDA AVE STE 114
NORFOLK, VA
ZIP 23513
Phone: (757) 408-0718
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DUBIES LOVE RESIDENTIAL SERVICES LLC is a community based residential treatment facility mental illness in Norfolk, VA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. DUBIES LOVE RESIDENTIAL SERVICES LLC NPI is 1235461070. The provider is registered as an organization entity type.

The provider's business location address is:

2500 ALMEDA AVE STE 114
NORFOLK, VA
ZIP 23513-403
Phone: (757) 408-0718

The provider's authorized official is Rhonda Ann Taylor .
The authorized official title is Ceo and has the following contact phone number (757) 718-7680.

The enumeration date for this NPI number is 2/4/2010 and was last updated on 10/16/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	343900000X	Non-emergency Medical Transport (VAN)			VIRGINIA	No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness		1339	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1339	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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