Active NPI
Restore Lyfe LLC
- Intellectual & Developmental Disabilities Psychologist
- Stafford, VA
National Provider Identifier
1740002369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual & Developmental Disabilities Psychologist
- Legal business name
- RESTORE LYFE LLC
- Practice address
- 22 Chadwick Dr
Stafford, VA 22556-4622 - Phone
- (571) 501-7151
- NPI assigned
- Oct 25, 2024
- 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
- Mrs. Hannah Karen England, MASTERS
- Title
- Owner
- Phone
- (520) 709-9163
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
22 Chadwick Dr
Stafford, VA 22556-4622
Mailing address
22 Chadwick Dr
Stafford, VA 22556-4622
Phone (571) 501-7151
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Aide
- Stafford, VA
- NPI 1174385488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729814400000",
"number": "1740002369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 CHADWICK DR",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225564622",
"telephone_number": "571-501-7151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 CHADWICK DR",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225564622",
"telephone_number": "571-501-7151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORE LYFE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-25",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A",
"authorized_official_last_name": "ENGLAND",
"authorized_official_first_name": "HANNAH",
"authorized_official_middle_name": "KAREN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "520-709-9163",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MASTERS"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.