Depaul VA Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DEPAUL VA OPCO LLC

Doing business as

Karolwood Gardens at Norfolk

Practice address

6403 Granby St
Norfolk, VA 23505-4447

Phone

(757) 451-2400

NPI assigned

Jun 1, 2021

Organization subpart

No

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

Authorized official

Name

Devora Kirschner

Title

VP of Administrative Services

Phone

(757) 451-2400

Specialties & licenses 2

Addresses

Other names 1

• Karolwood Gardens at Norfolk Doing business as

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1730755778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 SYLVAN AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323301",
            "telephone_number": "757-451-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6403 GRANBY ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054447",
            "telephone_number": "757-451-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPAUL VA OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "KIRSCHNER",
        "authorized_official_first_name": "DEVORA",
        "authorized_official_title_or_position": "VP OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "757-451-2400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karolwood Gardens at Norfolk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dental Professionals of Virginia, P.C.
• Eva Dimitrova Dentcheva, M.D.
• Karen Marie Denton, M.S. ED., CCC-SLP
• Madeeha Deo, MBBS, MD
• Cara M Depanfilis, PAC
• Catherine Jane Forbes Derber, M.D.
• Heidi M Dereski, CRNA
• Allen Cabahug Derina, AU.D., CCC-A
• Wayne M Derkac, MD
• Craig S. Derkay, M.D.

• Skilled Nursing Facility in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.