Organization Active NPI

Carlisle Living, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Chesapeake, VA
National Provider Identifier
1285973297
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
11L23566 Issued in VA
Legal business name
CARLISLE LIVING, LLC
Practice address
3501 Fulcrum CT
Chesapeake, VA 23323-1246
Phone
(757) 344-0839
NPI assigned
Feb 11, 2013
Last updated
Feb 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Authorized official

Name
Mrs. Rolelian Victoria Boone
Title
Ceo/Owner
Phone
(757) 344-0839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 11L23566 VA Primary

Addresses

Primary practice location

3501 Fulcrum CT
Chesapeake, VA 23323-1246

Mailing address

3501 Fulcrum CT
Chesapeake, VA 23323-1246
Phone (757) 344-0839

National Provider Directory

National Provider Directory
Tax ID family
Carlisle Living LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1285973297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 FULCRUM CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233231246",
            "telephone_number": "757-344-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 FULCRUM CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233231246",
            "telephone_number": "757-344-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLISLE LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "ROLELIAN",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "757-344-0839",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "11L23566",
            "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 Feb 11, 2013; 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.