NPIMap

Organization Active NPI

Sentara Life Care Corporation

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Norfolk, VA
National Provider Identifier
1104059047
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
SENTARA LIFE CARE CORPORATION
Practice address
251 S Newtown Rd
Norfolk, VA 23502-5718
Phone
(757) 892-5400
Fax
(757) 892-5401
NPI assigned
Aug 26, 2009
Last updated
Aug 26, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
SENTARA HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Mr. Bruce S Robertson
Title
VP, Administrator
Phone
(757) 892-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X NU Primary

Addresses

Primary practice location

251 S Newtown Rd
Norfolk, VA 23502-5718

Mailing address

251 S Newtown Rd
Norfolk, VA 23502-5718
Phone (757) 892-5400

National Provider Directory

National Provider Directory
Tax ID family
Sentara Life Care Corpo7 organizations share this tax ID, including this one
Part of
Sentara Health Care

Other organizations with this tax ID 6

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1104059047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 S NEWTOWN RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235025718",
            "telephone_number": "757-892-5400",
            "fax_number": "757-892-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 S NEWTOWN RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235025718",
            "telephone_number": "757-892-5400",
            "fax_number": "757-892-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA LIFE CARE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENTARA HEALTHCARE",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VP, ADMINISTRATOR",
        "authorized_official_telephone_number": "757-892-5400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NU",
            "license": null,
            "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 26, 2009; 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.