Be Heaven Residential Living

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

BE HEAVEN RESIDENTIAL LIVING

Practice address

1013 Hillwell Rd
Chesapeake, VA 23322-3604

Phone

(757) 807-8173

NPI assigned

Jun 28, 2021

Last updated

Jun 28, 2021By 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

Simone BrownNPI 1598355216

Title

Ceo

Phone

(757) 807-8173

Specialties & licenses 1

Addresses

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.

• Simone Brown

  • Developmental Disabilities Clinic/Center
  • Chesapeake, VA
  • NPI 1598355216
  NPD Authorized official

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1215507702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 HILLWELL RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233223604",
            "telephone_number": "757-807-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 HILLWELL RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233223604",
            "telephone_number": "757-807-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE HEAVEN RESIDENTIAL LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-807-8173"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy J Baumann-Freund, CNP
• Josephine Ann Bawab
• Rita Baxter
• Bay Area Physician Services, LLC
• Bayview Physician Services, PC
• Be Well, LLC
• Beach Family Eyecare PC
• Russell Beach, O.D.
• Debra C Beale, RPH
• Dmonyaa Zaire Beale, BT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.