Active NPI
Lumzy'S Residential Inc
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- North Chesterfield, VA
National Provider Identifier
1326568205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 0049474106
- Legal business name
- LUMZY'S RESIDENTIAL INC
- Practice address
- 7433 Cotfield Rd
North Chesterfield, VA 23237-1841 - Phone
- (804) 279-0105
- Fax
- (804) 279-0105
- NPI assigned
- Jun 22, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laverne Lumzy
- Title
- Owner
- Phone
- (804) 279-0105
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 0049474106 | VA | Primary |
Addresses
Primary practice location
7433 Cotfield Rd
North Chesterfield, VA 23237-1841
Mailing address
6601 Irongate SQ Ste D
North Chesterfield, VA 23234-6077
Phone (804) 279-0105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0049474106 | Medicaid | VA |
Other names 1
- Lumzy's Residential Services, Inc.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1326568205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 IRONGATE SQ STE D",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232346077",
"telephone_number": "804-279-0105",
"fax_number": "804-279-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7433 COTFIELD RD",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232371841",
"telephone_number": "804-279-0105",
"fax_number": "804-279-0105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUMZY'S RESIDENTIAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-22",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "LUMZY",
"authorized_official_first_name": "LAVERNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "804-279-0105"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "VA",
"license": "0049474106",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0049474106",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lumzy's Residential Services, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.