NPIMap

Organization Active NPI

Independent Living & Support Services

  • Case Management Agency
  • Norfolk, VA
National Provider Identifier
1033365481
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
SS-195-05 Issued in VA
Legal business name
INDEPENDENT LIVING & SUPPORT SERVICES
Practice address
1522 Florida Ave
Norfolk, VA 23502-1516
Phone
(757) 200-2094
NPI assigned
Aug 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Mr. William Anderson
Title
President/Ceo
Phone
(757) 200-2094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X SS-195-05 VA Primary

Addresses

Primary practice location

1522 Florida Ave
Norfolk, VA 23502-1516

Mailing address

3253 Duquesne Dr
Chesapeake, VA 23321-4032
Phone (757) 483-9625

National Provider Directory

National Provider Directory
Tax ID family
Independent Living Support Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1033365481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3253 DUQUESNE DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233214032",
            "telephone_number": "757-483-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 FLORIDA AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235021516",
            "telephone_number": "757-200-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT LIVING & SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "757-200-2094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "VA",
            "license": "SS-195-05",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.