Active NPI
Lumen Christi Home of Virginia Corporation
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Virginia Beach, VA
National Provider Identifier
1962852343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 2280
- Legal business name
- LUMEN CHRISTI HOME OF VIRGINIA CORPORATION
- Practice address
- 177 S Plaza TRL
Virginia Beach, VA 23452-5557 - Phone
- (757) 228-5893
- Fax
- (757) 282-6374
- NPI assigned
- Jun 16, 2016
- 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
- Francis Iria Aikhu
- Title
- Executive Director
- Phone
- (757) 228-5893
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 2280 | VA | Primary |
Addresses
Primary practice location
177 S Plaza TRL
Virginia Beach, VA 23452-5557
Mailing address
177 S Plaza TRL
Virginia Beach, VA 23452-5557
Phone (757) 228-5893
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2280 | Other | VA | DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466035200000",
"number": "1962852343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 S PLAZA TRL",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234525557",
"telephone_number": "757-228-5893",
"fax_number": "757-282-6374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 S PLAZA TRL",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234525557",
"telephone_number": "757-228-5893",
"fax_number": "757-282-6374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUMEN CHRISTI HOME OF VIRGINIA CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-16",
"last_updated": "2016-06-16",
"status": "A",
"authorized_official_last_name": "AIKHU",
"authorized_official_first_name": "FRANCIS",
"authorized_official_middle_name": "IRIA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "757-228-5893"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "VA",
"license": "2280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES",
"identifier": "2280",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.