TAYLOR ENHANCED LIVING (NPI# 1891145876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891145876 |
| Entity Type | Organization |
| Organization Name | TAYLOR ENHANCED LIVING |
| Other Organization Name | TAYLOR STARKEWOOD ENTERPRISES |
| Practice Address |
105 Holly Hill Dive Suite A Petersburg VA 23805 |
| Practice Telephone | 8047338847 |
| Practice Fax Number | 8047324963 |
| Mailing Telephone | 8047338847 |
| Mailing Fax Number | 8047324963 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |
| Authorized Official Name | MRS. CHARITA LAVONNE THREATT (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 8047338847 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701006556 | VA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Taylor Starkewood Enterprises | Doing Business As Name - Organization |
| Street Address |
105 HOLLY HILL DIVE SUITE A |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003363326 | Charita Threatt | Counselor | 105 Holly Hill Dive, Petersburg, VA 23805 | 2016-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| 1366683567 | Family Hearing Aid Cntr. | Hearing Instrument Specialist | 1936 S. Sycamore St., Petersburg, VA 23805 | 2009-03-18 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124679147 | Supportive Solution LLC | Counselor | 325b Brown St, Petersburg, VA 23803-4247 | 2019-09-20 |
| 1083179451 | Amanda Hill | Counselor | 19531 Hunt Rd, Petersburg, IL 62675-6054 | 2019-02-09 |
| 1942778725 | Charity Kene Thompson | Counselor | 300 Addison Way Apt 5-1c, Petersburg, VA 23805-9180 | 2018-11-09 |
| 1427564202 | Felicia Michelle Smith | Counselor | 3555 S Crater Rd, Petersburg, VA 23805-9210 | 2017-12-15 |
| 1922549807 | Bonnie Cantu | Counselor | 2104 E 1st St, Petersburg, TX 79250 | 2017-03-13 |
| 1811447584 | Melissa O. Motley Moore | Counselor | 1920 Matoax Ave, Petersburg, VA 23805-2843 | 2016-10-06 |
| 1629424353 | Jessica Lorita Thomas | Counselor | 20 W Bank St Ste 6, Petersburg, VA 23803-3279 | 2016-05-12 |
| 1306270012 | Catherine Bockmier-sommers | Counselor | 21799 Hideaway Estates Rd, Petersburg, IL 62675-6282 | 2013-08-29 |
| 1588944151 | The Outreach Foundation, LLC | Counselor | 20 E Tabb St, Suite 201, Petersburg, VA 23803-4541 | 2011-08-26 |
| 1376843698 | Shahneese Wright Hall | Counselor | 700 S Sycamore St Ste 6, Petersburg, VA 23803-5803 | 2010-11-02 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
Please comment or provide details below to improve the information on TAYLOR ENHANCED LIVING.
| 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.