LA MARIPOSA, LLC (NPI# 1639596273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639596273 |
| Entity Type | Organization |
| Organization Name | LA MARIPOSA, LLC |
| Practice Address |
3568 Karlin Ave Norfolk VA 23502-3111 |
| Mailing Address |
475 Water St Unit 604 Portsmouth VA 23704-3819 |
| Practice Telephone | 7574669999 |
| Practice Fax Number | 7574669966 |
| Mailing Telephone | 7574030429 |
| Mailing Fax Number | 7574669966 |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |
| Authorized Official Name | MRS. GWENDOLYN LOUISE CARLISLE (CVO) |
| Authorized Official Telephone | 7574030429 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2037 | VA | Residential Treatment Facilities |
| Street Address |
3568 KARLIN AVE |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210706 | Advantage Home Care, LLC | Home Health | 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 | 2018-10-01 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1548753833 | Murphy's Absolute Home Care LLC | Home Health | 983 Ingleside Rd Ste 6, Norfolk, VA 23502 | 2018-06-11 |
| 1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1467979351 | Lakeshia Louise Perryman | Counselor | 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 | 2017-08-23 |
| 1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
| 1497029011 | Kristine B Rand | Counselor | 6325 N Center Dr Ste 208, Norfolk, VA 23502 | 2012-02-29 |
| 1427343706 | Erica Leigh Streander | Pharmacist | 471 North Military Hwy, Norfolk, VA 23502 | 2011-06-14 |
| 1215239330 | Atlantic Physical Therapy | Specialist/Technologist | 5610 Lewis Rd, Norfolk, VA 23502 | 2010-11-22 |
| Find all providers in zip 23502 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760952592 | R&r Residential, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2714 Sewells Point Rd, Norfolk, VA 23513 | 2018-12-05 |
| 1114427218 | Patrese Onai Brown | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3571 N Ingleside Dr, Norfolk, VA 23502-4246 | 2018-02-15 |
| 1104346238 | Aza LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 944 Pollard St, Norfolk, VA 23504-1932 | 2017-06-20 |
| 1528508264 | Family Extensions, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 779 Lesner Ave, Norfolk, VA 23518-2503 | 2017-02-28 |
| 1164978656 | Camellia House LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8027 Camellia Rd, Norfolk, VA 23518-3416 | 2016-08-25 |
| 1154774008 | E D & Thomas Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2527 E Virginia Beach Blvd, Norfolk, VA 23504-3625 | 2016-07-15 |
| 1013394089 | Loving Grace House LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3642 Riverside Dr, Norfolk, VA 23502-4356 | 2015-04-29 |
| 1902203235 | Edifying Lives | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 204 W 33rd St, Norfolk, VA 23504-1408 | 2014-12-02 |
| 1063829380 | Anne's Group Home Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 722 Lexington St, Norfolk, VA 23504-2427 | 2014-07-18 |
| 1184037764 | Dailey Divine Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7929 Merritt St, Norfolk, VA 23518-3744 | 2014-06-11 |
| Find all providers in NORFOLK | ||||
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| 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.