Organization Active NPI

Still Waters Supportive Living LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Portsmouth, VA
National Provider Identifier
1326969205
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
STILL WATERS SUPPORTIVE LIVING LLC
Practice address
1550 Darren Cir
Portsmouth, VA 23701-3102
Phone
(757) 447-0885
NPI assigned
Jul 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Ms. Kayla Ware, MHINPI 1790430726
Title
Owner
Phone
(757) 798-9102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

1550 Darren Cir
Portsmouth, VA 23701-3102

Mailing address

5450 Scholarship Dr
Virginia Beach, VA 23462-7336
Phone (757) 798-9102

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1784851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1326969205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 SCHOLARSHIP DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627336",
            "telephone_number": "757-798-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 DARREN CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237013102",
            "telephone_number": "757-447-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS SUPPORTIVE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-24",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-798-9102",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHI"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.