Healthcare Provider Details

I. General information

NPI: 1336085422
Provider Name (Legal Business Name): LIVING PURPOSEFULLY LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 STATION HOUSE RD STE 106
CHESAPEAKE VA
23321-2511
US

IV. Provider business mailing address

4601 STATION HOUSE RD STE 106
CHESAPEAKE VA
23321-2511
US

V. Phone/Fax

Practice location:
  • Phone: 757-338-8171
  • Fax:
Mailing address:
  • Phone: 757-338-8171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. TAVONNE COPELAND
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 757-338-8171