Active NPI
My Home for Life
- Durable Medical Equipment & Medical Supplies
- Charlottesville, VA
National Provider Identifier
1568693083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 2400344
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.