RESIDENTIAL LIVING OPTIONS LLC NPI 1447352042

NPI Information

NPI: 1447352042
Provider Name: RESIDENTIAL LIVING OPTIONS LLC
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
3314 LENS AVE
NORFOLK, VA
ZIP 23509
Phone: (757) 855-3782
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RESIDENTIAL LIVING OPTIONS LLC is a residential treatment facility, intellectual and/or developmental disabilities in Norfolk, 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. RESIDENTIAL LIVING OPTIONS LLC NPI is 1447352042. The provider is registered as an organization entity type.

The provider's business location address is:

3314 LENS AVE
NORFOLK, VA
ZIP 23509-610
Phone: (757) 855-3782

The provider's authorized official is Gregory Lydell Smith .
The authorized official title is Administrator and has the following contact phone number (757) 477-1221.

The enumeration date for this NPI number is 9/2/2006 and was last updated on 10/7/2008.

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	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		725-01-001	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	010109566	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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