Diamond Life Services Charity Incorporated

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIAMOND LIFE SERVICES CHARITY INCORPORATED

Practice address

935 Virgilina Avenue
Norfolk, VA 23503

Phone

(757) 752-2710

Fax

(757) 890-3044

NPI assigned

May 4, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Jeremy Lundquist

Title

Owner

Phone

(757) 752-2712

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1891172367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236070896",
            "telephone_number": "757-594-6251",
            "fax_number": "757-890-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 VIRGILINA AVENUE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23503",
            "telephone_number": "757-752-2710",
            "fax_number": "757-890-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND LIFE SERVICES CHARITY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "LUNDQUIST",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-752-2712",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.