PRIMARY HABITAT LLC NPI 1164291720

NPI Information

  • NPI: 1164291720
  • Provider Name: PRIMARY HABITAT LLC
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Address: 610 MILE CREEK LN
    CHESAPEAKE, VA
    ZIP 23322
  • Phone: (704) 232-0063

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NPI Details

PRIMARY HABITAT LLC is a residential treatment facility, intellectual and/or developmental disabilities in Chesapeake, VA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. PRIMARY HABITAT LLC NPI is 1164291720. The provider is registered as an organization entity type.

The provider's business location address is:

610 MILE CREEK LN
CHESAPEAKE, VA
ZIP 23322-280
Phone: (704) 232-0063

The provider's authorized official is Clayton Wright .
The authorized official title is Founder/ceo and has the following contact phone number (704) 232-0063.

The enumeration date for this NPI number is 12/25/2023 and was last updated on 12/25/2023.

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
1251S00000XCommunity/Behavioral HealthNo
2310400000XAssisted Living FacilityNo
33104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
43104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesNo
5320700000XResidential Treatment Facility, Physical DisabilitiesNo
6320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
7320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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: 3/30/2025

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