Organization Active NPI

Life Journey Assisting Living LLC

  • Adult Care Home Facility
  • Henrico, VA
National Provider Identifier
1790572576
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
LIFE JOURNEY ASSISTING LIVING LLC
Practice address
2213 Westover Ave
Henrico, VA 23231-3956
Phone
(804) 647-9111
NPI assigned
Apr 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Ms. Tracy Self Turner
Title
Owner
Phone
(804) 647-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

2213 Westover Ave
Henrico, VA 23231-3956

Mailing address

2213 Westover Ave
Henrico, VA 23231-3956
Phone (804) 647-9111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1790572576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 WESTOVER AVE",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232313956",
            "telephone_number": "804-647-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 WESTOVER AVE",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232313956",
            "telephone_number": "804-647-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE JOURNEY ASSISTING LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "SELF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-647-9111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.