Organization Active NPI

Living Life

  • Home Health Agency
  • North Chesterfield, VA
National Provider Identifier
1972152908
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIVING LIFE
Practice address
595 Southlake Blvd
Suite B
North Chesterfield, VA 23236-4942
Phone
(757) 696-1806
NPI assigned
Sep 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Authorized official

Name
Erica Jackson
Title
Owner
Phone
(757) 696-1806

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SH0200X

Addresses

Primary practice location

595 Southlake Blvd
Suite B
North Chesterfield, VA 23236-4942

Mailing address

7305 Hancock Village Dr
PO Box 124
Chesterfield, VA 23832-1369
Phone (804) 307-4589

National Provider Directory

National Provider Directory

Locations

595 Southlake Blvd
Ste B
North Chesterfield, VA 23236
Phone (757) 696-1806

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1972152908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 HANCOCK VILLAGE DR",
            "address_2": "PO BOX 124",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238321369",
            "telephone_number": "804-307-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 SOUTHLAKE BLVD",
            "address_2": "SUITE B",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232364942",
            "telephone_number": "757-696-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-696-1806"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.