Owens Assisted Living

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

1006-14-001 Issued in VA

Legal business name

OWENS ASSISTED LIVING

Practice address

106 Newtown CT
Suffolk, VA 23434-9299

Phone

(757) 539-2245

NPI assigned

Aug 22, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Sean Owens

Title

Owner

Phone

(203) 543-8256

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Fourth Bay Ventures LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fourth Bay Ventures, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Suffolk, VA
  • NPI 1346423894
  NPD tax ID

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1932356714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 NEWTOWN CT",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234349299",
            "telephone_number": "757-539-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 NEWTOWN CT",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234349299",
            "telephone_number": "757-539-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWENS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-543-8256",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": "1006-14-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346423894",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ounce of Hope LLC
• Margaret K Overath, MA, PSY.S. , NCSP
• Lauren Marie Overman, LPC, ATR, NCC
• Rita M. Owen, NP-C
• Vinessa Tramaine Owen, MSW,SUPERVISEE IN SW
• Patrice Owens, LPC
• Shana S Owens, MA, LPC
• Olanrewaju Oye Somefun, D.D.S
• Karan Hemang Oza, DMD
• Eyvis G Padin, NP

• Mental Illness Community Based Residential Treatment Facility in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Mental Illness Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.