NPIMap

Organization Active NPI

Get Balanced 4 Life

  • Rehabilitation Clinic/Center
  • Callao, VA
National Provider Identifier
1326499062
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
0001064850 Issued in VA
Legal business name
GET BALANCED 4 LIFE
Practice address
765 Northumberland Hwy
Callao, VA 22435-0197
Phone
(804) 529-5178
Fax
(804) 529-5179
NPI assigned
Jun 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Mrs. Katharine Shirilla, RN
Title
Owner
Phone
(804) 450-3497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 0001064850 VA Primary

Addresses

Primary practice location

765 Northumberland Hwy
Callao, VA 22435-0197

Mailing address

PO Box 71
Lively, VA 22507-0071
Phone (804) 450-3497

National Provider Directory

National Provider Directory

Locations

765 Northumberland Hwy
Callao, VA 22435
Phone (804) 529-5178

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1326499062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71",
            "city": "LIVELY",
            "state": "VA",
            "postal_code": "225070071",
            "telephone_number": "804-450-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 NORTHUMBERLAND HWY",
            "city": "CALLAO",
            "state": "VA",
            "postal_code": "224350197",
            "telephone_number": "804-529-5178",
            "fax_number": "804-529-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GET BALANCED 4 LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "SHIRILLA",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-450-3497",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "VA",
            "license": "0001064850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Callao, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.