Active NPI
Life in Color LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Virginia Beach, VA
National Provider Identifier
1073364931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- LIFE IN COLOR LLC
- Practice address
- 300 Cripple Creek CT
Virginia Beach, VA 23452-7619 - Phone
- (757) 645-7791
- NPI assigned
- Mar 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Josephena Winfield
- Title
- Ceo
- Phone
- (757) 994-3053
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| State or Local Public Health Clinic/Center | 261QP0905X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
300 Cripple Creek CT
Virginia Beach, VA 23452-7619
Mailing address
300 Cripple Creek CT
Virginia Beach, VA 23452-7619
Phone (757) 645-7791
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Virginia Beach, VA
- NPI 1245108182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712102400000",
"number": "1073364931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CRIPPLE CREEK CT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527619",
"telephone_number": "757-645-7791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CRIPPLE CREEK CT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527619",
"telephone_number": "757-645-7791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE IN COLOR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-28",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A",
"authorized_official_last_name": "WINFIELD",
"authorized_official_first_name": "JOSEPHENA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "757-994-3053"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.