Healthcare Provider Details

I. General information

NPI: 1104809631
Provider Name (Legal Business Name): THORNTON HALL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 NORVIEW AVE
NORFOLK VA
23509-1540
US

IV. Provider business mailing address

827 NORVIEW AVE
NORFOLK VA
23509-1540
US

V. Phone/Fax

Practice location:
  • Phone: 757-853-6281
  • Fax: 757-855-3361
Mailing address:
  • Phone: 757-853-6281
  • Fax: 757-855-3361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNH2703
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberELO 2005-630
License Number StateVA

VIII. Authorized Official

Name: MRS. SUE H MYATT
Title or Position: ADMINISTRATOR
Credential:
Phone: 757-853-6281