Active NPI
Inspiration Health Addiction Treatment Center, LLC
- Addiction Medicine (Family Medicine) Physician
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- Legal business name
- INSPIRATION HEALTH ADDICTION TREATMENT CENTER, LLC
- Practice address
- 1729 Wildwood Dr Ste 103
Virginia Beach, VA 23454-3176 - Phone
- (757) 938-3654
- Fax
- (757) 938-3658
- NPI assigned
- Dec 8, 2020
- 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
- Ms. Leah Hancock
- Title
- Managing Member
- Phone
- (757) 938-3654
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | Primary |
Addresses
Primary practice location
1729 Wildwood Dr Ste 103
Virginia Beach, VA 23454-3176
Mailing address
1729 Wildwood Dr Ste 103
Virginia Beach, VA 23454-3176
Phone (757) 938-3654
Other practice location 1
1711 Church St Ste B
Norfolk, VA 23504-2303
Phone (757) 590-4428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659977346 | Other | VA | M396 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | provider@inspirationhatc.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2213158 | Inspiration Health Addiction Treatment Center LLC | Accreditation | Jan 20, 2027 |
| 49D2252608 | Inspiration Health Addiction | Certificate of waiver | Feb 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
1711 Church St
Ste B
Norfolk, VA 23504
Phone (757) 590-4428
1729 Wildwood Dr
Ste 103
Virginia Beach, VA 23454
Phone (757) 481-3179
Practitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Norfolk, VA
- NPI 1487622502
Addiction Medicine
-
- Family Nurse Practitioner
- Chesapeake, VA
- NPI 1770245508
-
- Emergency Medical Services (Emergency Medicine) Physician
- Virginia Beach, VA
- NPI 1043323058
Addiction Medicine
-
- Family Medicine Physician
- Virginia Beach, VA
- NPI 1487435376
-
- Physician Assistant
- Chesapeake, VA
- NPI 1497161954
-
- Medical Physician Assistant
- Norfolk, VA
- NPI 1083625461
-
- Family Nurse Practitioner
- Newport News, VA
- NPI 1578086617
-
- Psychiatric/Mental Health Nurse Practitioner
- Dumfries, VA
- NPI 1780381194
-
- Psychiatric/Mental Health Nurse Practitioner
- Virginia Beach, VA
- NPI 1821547027
-
- Family Nurse Practitioner
- Chesapeake, VA
- NPI 1013504588
-
- Internal Medicine Physician
- Virginia Beach, VA
- NPI 1265462568
-
- Psychiatric/Mental Health Nurse Practitioner
- Chesapeake, VA
- NPI 1083223879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654128000000",
"number": "1659977346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1729 WILDWOOD DR STE 103",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234543176",
"telephone_number": "757-938-3654",
"fax_number": "757-938-3658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1729 WILDWOOD DR STE 103",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234543176",
"telephone_number": "757-938-3654",
"fax_number": "757-938-3658"
}
],
"practiceLocations": [
{
"address_1": "1711 Church St Ste B",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235042303",
"country_code": "US",
"telephone_number": "757-590-4428",
"fax_number": "757-938-3658",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INSPIRATION HEALTH ADDICTION TREATMENT CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-08",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A",
"authorized_official_last_name": "HANCOCK",
"authorized_official_first_name": "LEAH",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "757-938-3654",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M396",
"identifier": "1659977346",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "provider@inspirationhatc.com",
"affiliation": "N",
"address_1": "1729 Wildwood Dr Ste 103",
"city": "Virginia Beach",
"state": "VA",
"country_code": "US",
"postal_code": "234543176",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.