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ELYSIAN HEALTH LLC NPI 1396319513


NPI Information

NPI: 1396319513
Provider Name: ELYSIAN HEALTH LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 49D2229797

Address:
240 MUSTANG TRL STE 1
VIRGINIA BEACH, VA
ZIP 23452
Phone: (757) 949-8076
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ELYSIAN HEALTH LLC is a medical specialty clinic center in Virginia Beach, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ELYSIAN HEALTH LLC NPI is 1396319513. The provider is registered as an organization entity type.

The provider's business location address is:

240 MUSTANG TRL STE 1
VIRGINIA BEACH, VA
ZIP 23452-516
Phone: (757) 949-8076

The provider's authorized official is Matthew Berniard .
The authorized official title is Medical Director and has the following contact phone number (757) 949-8076.

The CLIA number assigned to this NPI record is 49D2229797 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/13/2021 and was last updated on 5/13/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QI0500XClinic/CenterInfusion TherapyNo
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QM2500XClinic/CenterMedical SpecialtyYes

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

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