Organization Active NPI

New Lifestyle Home Healthcare

  • Case Manager/Care Coordinator
  • Norfolk, VA
National Provider Identifier
1790328896
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
NEW LIFESTYLE HOME HEALTHCARE
Practice address
880 N Military Hwy Ste 1079
Norfolk, VA 23502-3770
Phone
(757) 761-7754
NPI assigned
Oct 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Authorized official

Name
Kenton Amos
Title
Owner
Phone
(757) 761-7754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

880 N Military Hwy Ste 1079
Norfolk, VA 23502-3770

Mailing address

PO Box 41346
Norfolk, VA 23541-1346

National Provider Directory

National Provider Directory

Locations

880 N Military Hwy
Ste 1079
Norfolk, VA 23502
Phone (757) 761-7754

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1790328896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41346",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235411346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 N MILITARY HWY STE 1079",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023770",
            "telephone_number": "757-761-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFESTYLE HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "AMOS",
        "authorized_official_first_name": "KENTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-761-7754"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.