Organization Active NPI

Ivq Chesapeake Opco LP

  • Assisted Living Facility (Mental Illness)
  • Chesapeake, VA
National Provider Identifier
1285436352
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
IVQ CHESAPEAKE OPCO LP
Practice address
130 Great Bridge Blvd
Chesapeake, VA 23320-3902
Phone
(757) 436-2109
Fax
(757) 436-2565
NPI assigned
Mar 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Jessica Adrienne Miller
Title
Revenue Cycle Manager
Phone
(201) 388-4784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

130 Great Bridge Blvd
Chesapeake, VA 23320-3902

Mailing address

130 Great Bridge Blvd
Chesapeake, VA 23320-3902
Phone (757) 436-2109

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1285436352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GREAT BRIDGE BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203902",
            "telephone_number": "757-436-2109",
            "fax_number": "757-436-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GREAT BRIDGE BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203902",
            "telephone_number": "757-436-2109",
            "fax_number": "757-436-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVQ CHESAPEAKE OPCO LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ADRIENNE",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "201-388-4784"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

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