Quality Living of Hampton Roads,LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

144401001 Issued in VA

Legal business name

QUALITY LIVING OF HAMPTON ROADS,LLC

Practice address

1109 Freedom Ave
Portsmouth, VA 23701-3219

Phone

(757) 724-2432

Fax

(757) 399-8879

NPI assigned

Jan 27, 2011

Last updated

Jan 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ann Marie Banks

Title

Executive Director

Phone

(757) 724-2432

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1144526955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 PARKER AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237044426",
            "telephone_number": "757-724-2432",
            "fax_number": "757-399-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 FREEDOM AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237013219",
            "telephone_number": "757-724-2432",
            "fax_number": "757-399-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY LIVING OF HAMPTON ROADS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "757-724-2432",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "144401001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.