LUCAS LODGE, LLC
NPI 1205851110
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Portsmouth, VA

Q: What is Lucas Lodge, LLC's NPI number?

The NPI number for Lucas Lodge, LLC is 1205851110. It was assigned to this organization in the NPPES registry on July 12, 2006.

Q: What is Lucas Lodge, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Lucas Lodge, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 12, 2006

1214 COUNTY ST, PORTSMOUTH, VA 23704(757) 397-8200(757) 397-8224 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Lucas Lodge, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUCAS LODGE, LLC (NPI 1205851110) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Portsmouth, Virginia and active in the NPI registry since July 2006. The organization lists Lisa Lucas Burke, Assistant Executive Director, as its authorized official.

NPPES Registry Identity

NPI1205851110

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameLUCAS LODGE, LLC

Location Address1214 COUNTY STPortsmouth, VA 23704-3240

Mailing Address1214 County StPortsmouth, VA 23704-3240 · (757) 397-8200 · Fax (757) 397-8224

Phone(757) 397-8200

Fax(757) 397-8224

Organization SubpartNo

Authorized OfficialLisa Lucas BurkeAssistant Executive Director · (757) 397-8200

Enumeration DateJuly 12, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1205851110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

License✔ Licensed in VA · 341-01-001

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

1214 COUNTY ST, Portsmouth, VA 23704

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lucas Lodge, LLC's NPI number?

The NPI number for Lucas Lodge, LLC is 1205851110. It was assigned to this organization in the NPPES registry on July 12, 2006.

Where is Lucas Lodge, LLC located?

Lucas Lodge, LLC is located at 1214 County St, Portsmouth, VA 23704. The listed phone number is (757) 397-8200.

What is Lucas Lodge, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Lucas Lodge, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.