LOVING YEARS ADULT DAYCARE CENTER INC NPI 1942699889

NPI Information

NPI: 1942699889
Provider Name: LOVING YEARS ADULT DAYCARE CENTER INC
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
2793 S CRATER RD STE H
PETERSBURG, VA
ZIP 23805
Phone: (804) 722-0005
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LOVING YEARS ADULT DAYCARE CENTER INC is an adult day care clinic center in Petersburg, VA. LOVING YEARS ADULT DAYCARE CENTER INC NPI is 1942699889. The provider is registered as an organization entity type.

The provider's business location address is:

2793 S CRATER RD STE H
PETERSBURG, VA
ZIP 23805-472
Phone: (804) 722-0005
Fax: (804) 722-0996

The provider's authorized official is Linda Diana Garris .
The authorized official title is Executive Director and has the following contact phone number (804) 722-0005.

The enumeration date for this NPI number is 1/15/2015 and was last updated on 1/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	261QA0600X	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0163825919	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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