An Ideal Living LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

AN IDEAL LIVING LLC

Practice address

705 Bulrush CT
Chesapeake, VA 23320-9269

Phone

(757) 339-8155

NPI assigned

Jun 4, 2025

Organization subpart

No

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

Authorized official

Name

Jasmine Unique Wynn

Title

Owner

Phone

(757) 339-8155

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1720972755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BULRUSH CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233209269",
            "telephone_number": "757-339-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BULRUSH CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233209269",
            "telephone_number": "757-339-8155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2208 Chesterfield Loop",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233236379",
            "country_code": "US",
            "telephone_number": "757-575-7315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AN IDEAL LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "UNIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-339-8155"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.