LJ Edwards LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LJ EDWARDS LLC

Doing business as

Nurse Next Door, Norfolk VA

Practice address

5215 Colley Ave Ste 109
Norfolk, VA 23508-2166

Phone

(757) 994-1194

NPI assigned

Apr 23, 2024

Organization subpart

No

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

Authorized official

Name

Lician Johnson-Edwards, REGISTERED NURSE

Title

Ceo

Phone

(757) 663-3633

Specialties & licenses 2

Addresses

Other names 1

• Nurse Next Door, Norfolk VA Doing business as

Locations

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1265287205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 DES MOINES AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237045421",
            "telephone_number": "757-663-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 COLLEY AVE STE 109",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082166",
            "telephone_number": "757-994-1194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2109 Des Moines Ave",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237045421",
            "country_code": "US",
            "telephone_number": "757-663-3633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LJ EDWARDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-EDWARDS",
        "authorized_official_first_name": "LICIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-663-3633",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nurse Next Door, Norfolk VA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Norfolk, VA
• Providers in Norfolk, VA by specialty
• In Home Supportive Care Agency in Virginia

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