MADONNA HOME
NPI 1750855847
Nursing Home Administrator in Norfolk, VA

Active since January 11, 2019
814 W 37TH ST, NORFOLK, VA 23508(757) 623-6662(757) 623-4966 Get Directions Write a Review

NPPES record last updated: January 11, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nursing Home Administrator

About MADONNA HOME

This page provides the complete NPI Profile along with additional information for Madonna Home, a provider established in Norfolk, Virginia operating as a Nursing Home Administrator. The healthcare provider is registered in the NPI registry with number 1750855847 assigned on January 2019. The practitioner's primary taxonomy code is 376G00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Charlene Davis (Administrator)

NPI
1750855847 Verify this NPI
Provider Name
MADONNA HOME
Entity Type
Organization
Location Address
814 W 37TH ST NORFOLK, VA 23508
Location Phone
(757) 623-6662
Location Fax
(757) 623-4966
Mailing Address
814 W 37TH ST NORFOLK, VA 23508
Mailing Phone
(757) 623-6662
Mailing Fax
(757) 623-4966
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-11-2019
Last Update Date
01-11-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nursing Home Administrator

Taxonomy Code
376G00000X
Type
Nursing Service Related Providers
Taxonomy Description
An individual, often licensed by the state, who is responsible for the management of a nursing home.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. CHARLENE DAVIS

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(757) 435-7809

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750855847, enumerated as an "organization" on January 11, 2019.

The provider is located at 814 W 37TH ST NORFOLK, VA 23508 and the phone number is (757) 623-6662.

Nursing Home Administrator with taxonomy code 376G00000X.