Organization Active NPI

Everglow LLC

  • Developmentally Disabled Services Day Training Agency
  • Chesapeake, VA
National Provider Identifier
1427788116
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
EVERGLOW LLC
Practice address
4144 Lakeview Dr
Chesapeake, VA 23323-1600
Phone
(757) 949-0950
Fax
(757) 966-2788
NPI assigned
Jun 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Zvisinei Meki, DR.NPI 1881356848
Title
Ceo
Phone
(757) 949-0950

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
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

4144 Lakeview Dr
Chesapeake, VA 23323-1600

Mailing address

4144 Lakeview Dr
Chesapeake, VA 23323-1600
Phone (757) 949-0950

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": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1427788116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 LAKEVIEW DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233231600",
            "telephone_number": "757-949-0950",
            "fax_number": "757-966-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 LAKEVIEW DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233231600",
            "telephone_number": "757-949-0950",
            "fax_number": "757-966-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGLOW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "MEKI",
        "authorized_official_first_name": "ZVISINEI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-949-0950",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "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 Jun 15, 2022; 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.