The Village of Tidewater, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE VILLAGE OF TIDEWATER, LLC

Practice address

1001 E 26TH St Ste 1
Norfolk, VA 23504-1801

Phone

(757) 937-5991

NPI assigned

Nov 18, 2025

Organization subpart

No

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

Authorized official

Name

Shaquanna Timisha Godwin

Title

Administrator

Phone

(757) 937-5991

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1457211773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E 26TH ST STE 1",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235041801",
            "telephone_number": "757-937-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 26TH ST STE 1",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235041801",
            "telephone_number": "757-937-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE OF TIDEWATER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "SHAQUANNA",
        "authorized_official_middle_name": "TIMISHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-937-5991"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Assisted Living Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.