CIRCLE OF LIFE LLC NPI 1316433709

NPI Information

NPI: 1316433709
Provider Name: CIRCLE OF LIFE, LLC

Other Name: C.O.L RESIDENTIAL

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
3630 S PLAZA TRL STE 210D
VIRGINIA BEACH, VA
ZIP 23452
Phone: (757) 553-6158
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CIRCLE OF LIFE, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Virginia Beach, VA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. CIRCLE OF LIFE, LLC NPI is 1316433709. The provider is registered as an organization entity type.
The provider Other Name Is C.o.l Residential.

The provider's business location address is:

3630 S PLAZA TRL STE 210D
VIRGINIA BEACH, VA
ZIP 23452-366
Phone: (757) 553-6158

The provider's authorized official is Dalesha Smith .
The authorized official title is Director and has the following contact phone number (757) 553-6158.

The enumeration date for this NPI number is 7/9/2018 and was last updated on 3/14/2024.

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	Primary
1	251C00000X	Day Training, Developmentally Disabled Services	No
2	251S00000X	Community/Behavioral Health	No
3	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Yes

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: 5/5/2024

NPI Synchronization or Removal

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