Southern Living Child Care LLC

Key facts

NPI: 1326445149
Entity type: Organization (NPI type 2)
Primary specialty: Case Manager/Care Coordinator 171M00000X
Legal business name: SOUTHERN LIVING CHILD CARE LLC
Practice address: 6688 Tatum Rd
Disputanta, VA 23842-6902
Phone: (804) 550-8674
NPI assigned: Nov 21, 2014
Organization subpart: No

Authorized official

Name: Mrs. Jennifer J White, MEMBER
Title: Member
Phone: (804) 550-8674

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Case Manager/Care Coordinator Group: 193400000X SINGLE SPECIALTY GROUP	171M00000X			Yes

Addresses

Primary practice location

6688 Tatum Rd
Disputanta, VA 23842-6902

Mailing address

6688 Tatum Rd
Disputanta, VA 23842-6902
Phone (804) 550-8674

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 21, 2014.

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1326445149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6688 TATUM RD",
            "city": "DISPUTANTA",
            "state": "VA",
            "postal_code": "238426902",
            "telephone_number": "804-550-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6688 TATUM RD",
            "city": "DISPUTANTA",
            "state": "VA",
            "postal_code": "238426902",
            "telephone_number": "804-550-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN LIVING CHILD CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "804-550-8674",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MEMBER"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Disputanta, VA

All providers in Disputanta, VA · Case Manager/Care Coordinator in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.