NPIMap

Organization Active NPI

Civitas Para Vita Limited Liability Co

  • Case Manager/Care Coordinator
  • Lawrenceville, VA
National Provider Identifier
1174348379
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
CIVITAS PARA VITA LIMITED LIABILITY CO
Practice address
875 Iron Bridge Rd
Lawrenceville, VA 23868-3937
Phone
(434) 917-1211
NPI assigned
Nov 21, 2024
Last updated
Apr 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Jessica Siotia Beatrice HurdleNPI 1083441513
Title
Owner
Phone
(434) 917-1211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary
Developmentally Disabled Services Day Training Agency 251C00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

875 Iron Bridge Rd
Lawrenceville, VA 23868-3937

Mailing address

875 Iron Bridge Rd
Lawrenceville, VA 23868-3937
Phone (434) 917-1211

Other practice location 1

903 Iron Bridge Rd
Lawrenceville, VA 23868-3909
Phone (434) 917-1211

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1174348379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 IRON BRIDGE RD",
            "city": "LAWRENCEVILLE",
            "state": "VA",
            "postal_code": "238683937",
            "telephone_number": "434-917-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 IRON BRIDGE RD",
            "city": "LAWRENCEVILLE",
            "state": "VA",
            "postal_code": "238683937",
            "telephone_number": "434-917-1211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 Iron Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "VA",
            "postal_code": "238683909",
            "country_code": "US",
            "telephone_number": "434-917-1211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CIVITAS PARA VITA LIMITED LIABILITY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "HURDLE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "SIOTIA BEATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-917-1211"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.