Active NPI
Living Life
- Home Health Agency
- North Chesterfield, VA
National Provider Identifier
1972152908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Home Health Clinical Nurse Specialist | 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 DirectoryLocations
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.
-
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- Newport News, VA
- NPI 1285059519
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.