Organization Active NPI

Louise W. Eggleston Center

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Norfolk, VA
National Provider Identifier
1093768921
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
16701001 Issued in VA
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eggleston2 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.

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.

Verify at the official NPI Registry.