Organization Active NPI

Leibovici Health Care LLC

  • Nursing Facility/Intermediate Care Facility
  • Norfolk, VA
National Provider Identifier
1235594854
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
0101237467 Issued in VA
Legal business name
LEIBOVICI HEALTH CARE LLC
Practice address
421 Van Wyck Mews
Norfolk, VA 23517-2129
Phone
(757) 373-8438
Fax
(757) 333-7736
NPI assigned
Dec 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Samuel Leibovici, M.D.
Title
President
Phone
(757) 373-8438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 0101237467 VA Primary

Addresses

Primary practice location

421 Van Wyck Mews
Norfolk, VA 23517-2129

Mailing address

421 Van Wyck Mews
Norfolk, VA 23517-2129
Phone (757) 373-8438

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1450915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1235594854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 VAN WYCK MEWS",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172129",
            "telephone_number": "757-373-8438",
            "fax_number": "757-333-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 VAN WYCK MEWS",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172129",
            "telephone_number": "757-373-8438",
            "fax_number": "757-333-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEIBOVICI HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-24",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "LEIBOVICI",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-373-8438",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "VA",
            "license": "0101237467",
            "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 Feb 29, 2016; 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.