Healthcare Provider Details

I. General information

NPI: 1376796417
Provider Name (Legal Business Name): ENVOY OF NORFOLK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2008
Last Update Date: 09/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 NORVIEW AVE
NORFOLK VA
23509-1540
US

IV. Provider business mailing address

800 CONCOURSE PKWY S SUITE 200
MAITLAND FL
32751-6152
US

V. Phone/Fax

Practice location:
  • Phone: 757-853-6281
  • Fax:
Mailing address:
  • Phone: 407-571-1550
  • Fax: 407-571-1599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH CONTE
Title or Position: CEO
Credential:
Phone: 407-571-1550