Active NPI
Louise W. Eggleston Center
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Norfolk, VA
National Provider Identifier
1093768921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 16701001
- Legal business name
- LOUISE W. EGGLESTON CENTER
- Doing business as
- Eggleston Services, Inc.
- Practice address
- 6431 Tidewater Dr
Norfolk, VA 23509-1600 - Phone
- (757) 858-8011
- Fax
- (757) 858-8057
- NPI assigned
- May 19, 2006
- 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
- Mr. Dave Wilber
- Title
- Chief Operating Officer
- Phone
- (757) 858-8011
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 16702006 | VA | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 16701001 | VA | Primary |
Addresses
Primary practice location
6431 Tidewater Dr
Norfolk, VA 23509-1600
Mailing address
1161 Ingleside Rd
Norfolk, VA 23502-5608
Phone (757) 858-8011
Other names 1
- Eggleston Services, Inc.
National Provider Directory
National Provider Directory- Tax ID family
- Eggleston
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- School Social Worker
- Hampton, VA
- NPI 1467887612
Locations
6431 Tidewater Dr
Norfolk, VA 23509
Phone (757) 858-8011
1161 Ingleside Rd
Norfolk, VA 23502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1093768921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1161 INGLESIDE RD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235025608",
"telephone_number": "757-858-8011",
"fax_number": "757-627-4760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6431 TIDEWATER DR",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235091600",
"telephone_number": "757-858-8011",
"fax_number": "757-858-8057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUISE W. EGGLESTON CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "WILBER",
"authorized_official_first_name": "DAVE",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "757-858-8011",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "VA",
"license": "16702006",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "VA",
"license": "16701001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Eggleston Services, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.