EVERNORTH DIRECT HEALTH LLC
NPI 1992576037
Clinic/Center in Glen Allen, VA
About Evernorth Direct Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERNORTH DIRECT HEALTH LLC (NPI 1992576037) is a healthcare organization registered as a clinic/center in Glen Allen, Virginia and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through February 1, 2027 and lists Deborah Sue Coolidge, Financial Analysis Senior Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 49D2019582
Genworth Health And Wellness Dba Evernorth · Glen Allen, VAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Evernorth Direct Health LLC's NPI number?
The NPI number for Evernorth Direct Health LLC is 1992576037. It was assigned to this organization in the NPPES registry on January 9, 2024. The provider is also known as Genworth Behavioral Health.
Where is Evernorth Direct Health LLC located?
Evernorth Direct Health LLC is located at 11011 W Broad St, Glen Allen, VA 23060. The listed phone number is (623) 277-1190.
What is Evernorth Direct Health LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Does Evernorth Direct Health LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2019582) is associated with this NPI, valid through February 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Evernorth Direct Health LLC was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Evernorth Direct Health Llc · NPI 1992576037
Clinic/Center organization in Glen Allen, Virginia. Organization record, active in the CMS NPPES registry since January 9, 2024.
## Identity
- **NPI:** 1992576037 (Entity type: Organization)
- **Enumerated:** January 9, 2024
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Also known as:** Genworth Behavioral Health (Other Name)
- **Organization subpart:** Yes (part of Evernorth Direct Health Llc)
- **Authorized official:** Deborah Coolidge, FINANCIAL ANALYSIS SENIOR MANAGER
## Practice location
- **Address:** 11011 W BROAD ST, Glen Allen, VA 23060-5937
- **Phone:** (623) 277-1190
## Record status
- **NPPES last updated:** January 9, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1992576037) · Data from the CMS NPPES public registry.