Organization Active NPI

Inspiration Health Addiction Treatment Center, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Virginia Beach, VA
National Provider Identifier
1659977346
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
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

Updated by the provider on Jun 2, 2022

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)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1659977346OtherVAM396

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address provider@inspirationhatc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220110000558 VA Part B Supplier - Clinic/Group Practice 1759773484 Receives reassigned benefits from 14 practitioners
Practice locations: Norfolk, VA; Virginia Beach, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2213158Inspiration Health Addiction Treatment Center LLC1729 Wildwood Drive Suite 103, Virginia Beach, VA 23454AccreditationJan 20, 2027
49D2252608Inspiration Health Addiction1711 Church Street Suite B, Norfolk, VA 23504Certificate of waiverFeb 13, 2028

National Provider Directory

National Provider Directory

Locations

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.

View all 16

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.

Verify at the official NPI Registry.