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SUPPORTIVE INDEPENDENT LIFESTYLE LLC
NPI 1780374033
Day Training, Developmentally Disabled Services in Virginia Beach, VA

Active since May 10, 2023
316 OFFICE SQUARE LN STE 101, VIRGINIA BEACH, VA 23462(757) 383-2589 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Supportive Independent Lifestyle Llc NPPES

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

SUPPORTIVE INDEPENDENT LIFESTYLE LLC (NPI 1780374033), doing business as Independent Lifestyles Llc, is a healthcare organization registered as a day training, developmentally disabled services in Virginia Beach, Virginia and active in the NPI registry since May 2023. The organization lists Adam Harris, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780374033
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameSUPPORTIVE INDEPENDENT LIFESTYLE LLC
Location Address316 OFFICE SQUARE LN STE 101Virginia Beach, VA 23462-3651
Mailing Address316 Office Square Ln Ste 101Virginia Beach, VA 23462-3651 · (757) 383-2589
Phone(757) 383-2589
Organization SubpartNo
Authorized OfficialAdam HarrisCeo · (757) 383-2589
Enumeration DateMay 10, 2023
NPPES CertifiedMay 10, 2023
✔ NPI 1780374033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
316 OFFICE SQUARE LN STE 101, Virginia Beach, VA 23462
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Other Names 1

Doing Business AsIndependent Lifestyles Llc

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KI HOME HEALTHCARE LLC
Technician (Personal Care Attendant)
316 OFFICE SQUARE LN STE 101
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 575-1934
ADOM CARE AT HOME LLC
Community/Behavioral Health
316 OFFICE SQUARE LN STE 101
VIRGINIA BEACH, VA 23462
Virginia Beach City (703) 594-6996
MS. NICOLE GRACE SIRKO LPC
Counselor (Professional)
316 OFFICE SQUARE LN STE 101
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 279-8058

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 Supportive Independent Lifestyle LLC's NPI number?

The NPI number for Supportive Independent Lifestyle LLC is 1780374033. It was assigned to this organization in the NPPES registry on May 10, 2023. The provider is doing business as Independent Lifestyles LLC.

Where is Supportive Independent Lifestyle LLC located?

Supportive Independent Lifestyle LLC is located at 316 Office Square Ln Ste 101, Virginia Beach, VA 23462. The listed phone number is (757) 383-2589.

What is Supportive Independent Lifestyle LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Supportive Independent Lifestyle LLC was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.