RESIDENTIAL LIVING OPTIONS LLC


Address: 3314 Lens Ave, Norfolk, VA 23509-2610
Phone: 7578553782

RESIDENTIAL LIVING OPTIONS LLC (NPI# 1447352042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447352042
Entity Type Organization
Organization Name RESIDENTIAL LIVING OPTIONS LLC
Practice Address 3314 Lens Ave
Norfolk
VA 23509-2610
Mailing Address 1013 Saint Andrews Way Apt C
Chesapeake
VA 23320-8524
Practice Telephone 7578553782
Mailing Telephone 7574100229
Enumeration Date 2006-09-02
Last Update Date 2008-10-07
Authorized Official Name DR. GREGORY LYDELL SMITH (ADMINISTRATOR)
Authorized Official Telephone 7574771221
Authorized Official Credential PH.D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 725-01-001 VA Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
VA 010109566 05

Office Location

Street Address 3314 LENS AVE
City NORFOLK
State VA
Zip Code 23509-2610

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548618820 Burleigh Clarke Physical Therapist 1806 Lasalle Ave., Norfolk, VA 23509 2016-05-27
1770527400 Gynecology Associates Ltd Pllc Obstetrics & Gynecology 2810 Tidewater Dr., Norfolk, VI 23509 2006-06-15
1285126110 Tina Armstrong Private Vehicle 1730 Gowrie Ave, Norfolk, VA 23509-1024 2018-06-06
1992922603 Peggy Lynn Pickford Speech-Language Pathologist 1779 Tait Ter, Norfolk, VA 23509-1043 2007-04-20
1235477761 Senseabilities Pediatric Therapy, LLC Speech-Language Pathologist 1779 Tait Ter, Norfolk, VA 23509-1043 2013-01-17
1528391307 Cimone S John Nurse Practitioner 2810 Tidewater Dr, Norfolk, VA 23509-1050 2009-09-11
1295760403 Abraham S Anderson Obstetrics & Gynecology 2810 Tidewater Dr, Norfolk, VA 23509-1050 2006-07-12
1952918880 Amesha Renee Custis Nurse Practitioner 2647 Jason Ave, Norfolk, VA 23509-1073 2020-09-24
1285838797 Paramount Youth Services Community Based Residential Treatment Facility, Mental Illness 3115 Lorraine Ave, Norfolk, VA 23509-1127 2007-06-11
1508140856 Susan Cianfaglione Counselor 1526 Versailles Ave, No. 1, Norfolk, VA 23509-1146 2011-10-05
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205387032 Agape Care Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6406 Avon Rd, # 2, Norfolk, VA 23513-3304 2016-10-17
1205384377 Brighter Days Housing, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 816 Orapax St Ste C, Norfolk, VA 23507-1364 2016-09-16
1538546437 Keys To Success Family & Developmental Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3316 Sewells Point Rd, Norfolk, VA 23513-2237 2015-04-29
1386070506 Faith LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 190 Janaf Shopping Ctr, Box 12911, Norfolk, VA 23502-2507 2013-09-19
1285076067 Abundant Life Therapeutic Services LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 645 Church St., Suite 104c, Norfolk, VA 23510 2013-07-22
1003255902 Kemetic Services LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 5635 Raby Rd Ste D, Norfolk, VA 23502-2465 2013-06-24
1487837522 Community Group Homes, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3246 Dunkirk Ave, Norfolk, VA 23509-1908 2007-12-12
1811508252 Ephraim Cruz Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 8027 Camellia Rd, Norfolk, VA 23518-3416 2020-08-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1568069987 New Development Services LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4610 Milfax Rd, North Chesterfield, VA 23224-5604 2020-10-08
1114524766 Latoya Steward Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 805 Admiral Gravely Blvd, Richmond, VA 23231 2020-10-07
1780281808 Romco Enterprises, Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3409 Scott St, Portsmouth, VA 23707-4001 2020-10-01
1710596051 Dare To Dream Family Services, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2905 Steed Ct, Chesapeake, VA 23323-2843 2020-07-22
1780208660 Excel Family Services of Virginia, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1100 Hubbell Dr, Virginia Beach, VA 23454-5633 2020-06-05
1366064313 Monica Lotoria Ballou Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1345 N Main St, Danville, VA 24540-3721 2020-05-13
1790306934 Serenity Residential Servicess, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6225 Wilmington Dr, Burke, VA 22015-3828 2020-04-28
1407483316 Lighthouse Residential Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 5219 Summerleaf Dr, North Chesterfield, VA 23234-2817 2020-03-23
1457983538 Rokel Health Care Services LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 7905 Dassett Ct Apt 304, Annandale, VA 22003-4878 2020-02-06
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City NORFOLK
Zip Code 23509

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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