Organization Active NPI

Life Transitions Inc.

  • Preferred Provider Organization
  • Chesapeake, VA
National Provider Identifier
1104298389
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
309971 Issued in VA
Legal business name
LIFE TRANSITIONS INC.
Practice address
956 Lake Village Dr Apt C
Chesapeake, VA 23323-4725
Phone
(757) 372-3534
Fax
(757) 673-1302
NPI assigned
Oct 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Mrs. Carmalita Yvonne Kovach-Watts
Title
Ceo
Phone
(757) 372-3534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 309971 VA Primary

Addresses

Primary practice location

956 Lake Village Dr Apt C
Chesapeake, VA 23323-4725

Mailing address

956 Lake Village Dr Apt C
Chesapeake, VA 23323-4725
Phone (757) 372-3534

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1104298389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 LAKE VILLAGE DR APT C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233234725",
            "telephone_number": "757-372-3534",
            "fax_number": "757-673-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 LAKE VILLAGE DR APT C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233234725",
            "telephone_number": "757-372-3534",
            "fax_number": "757-673-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TRANSITIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "KOVACH-WATTS",
        "authorized_official_first_name": "CARMALITA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-372-3534",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "309971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.