Organization Active NPI

My Home for Life

  • Durable Medical Equipment & Medical Supplies
  • Charlottesville, VA
National Provider Identifier
1568693083
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2400344 Issued in VA
Legal business name
MY HOME FOR LIFE
Practice address
1300 Branchlands Dr
Charlottesville, VA 22901-1783
Phone
(434) 977-6435
NPI assigned
Jul 31, 2009
Last updated
Jul 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Authorized official

Name
Charles IX
Title
Manager
Phone
(434) 977-6435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2400344 VA Primary

Addresses

Primary practice location

1300 Branchlands Dr
Charlottesville, VA 22901-1783

Mailing address

1300 Branchlands Dr
Charlottesville, VA 22901-1783
Phone (434) 977-6435

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1568693083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BRANCHLANDS DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011783",
            "telephone_number": "434-977-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BRANCHLANDS DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011783",
            "telephone_number": "434-977-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HOME FOR LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "IX",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "434-977-6435"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "2400344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.