Residential Living Options LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

725-01-001 Issued in VA

Legal business name

RESIDENTIAL LIVING OPTIONS LLC

Practice address

3314 Lens Ave
Norfolk, VA 23509-2610

Phone

(757) 855-3782

NPI assigned

Sep 2, 2006

Last updated

Oct 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Lydell Smith, PH.D

Title

Administrator

Phone

(757) 477-1221

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1447352042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 SAINT ANDREWS WAY APT C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233208524",
            "telephone_number": "757-410-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 LENS AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235092610",
            "telephone_number": "757-855-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL LIVING OPTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LYDELL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-477-1221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "725-01-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010109566",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Michael Renner, PHARM.D.
• Diedre Ann Renstrom, NNP
• Alissa Leticia Rentas
• Lindsey Reprogle, PHYSICIAN ASSISTANT
• Kyle Resendes, MD
• Resiliency Mental Health Services LLC
• Resilient Roots Psychotherapy, LLC
• Resplendent Home Care LLC
• Resplendent Home Care LLC
• Resplendent Support Services LLC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.