Healthcare Provider Details

I. General information

NPI: 1528989340
Provider Name (Legal Business Name): LUXURIOUS ACCOMMODATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4813 ANNLYN DR
SANDSTON VA
23150-1205
US

IV. Provider business mailing address

4813 ANNLYN DR
SANDSTON VA
23150-1205
US

V. Phone/Fax

Practice location:
  • Phone: 757-987-5002
  • Fax:
Mailing address:
  • Phone: 757-987-5002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: YOLANDA ALLEN
Title or Position: MANAGER
Credential:
Phone: 804-616-8015