Loving Grace House LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

2310 Issued in VA

Legal business name

LOVING GRACE HOUSE LLC

Practice address

3642 Riverside Dr
Norfolk, VA 23502-4356

Phone

(757) 822-6989

NPI assigned

Apr 29, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dorian Lee Flood

Title

Owner

Phone

(757) 235-9390

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1013394089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3642 RIVERSIDE DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024356",
            "telephone_number": "757-822-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3642 RIVERSIDE DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024356",
            "telephone_number": "757-822-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING GRACE HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "FLOOD",
        "authorized_official_first_name": "DORIAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-235-9390"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "2310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shamese S Love
• Love&Trust
• Charles Frederick Lovell Jr., MD
• Eric J Lowe, M.D.
• Olivia Nichole Lowe, PA-C
• Rhiannon Bonnabell Lowery, DO
• Mariah Christine Lowman, PA-C
• Loyalty Homecare

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.