Organization 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
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
2280 Issued in VA
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

Updated by the provider on Jun 16, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2280OtherVADEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.