Provider Demographics
NPI:1235902628
Name:NORFOLK NEXIT, INC
Entity Type:Organization
Organization Name:NORFOLK NEXIT, INC
Other - Org Name:NEXUS HOME, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANTOYA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-762-0313
Mailing Address - Street 1:536 W 21ST ST STE J2
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517-1949
Mailing Address - Country:US
Mailing Address - Phone:757-762-0313
Mailing Address - Fax:
Practice Address - Street 1:520 W 21ST ST STE J2
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-0017
Practice Address - Country:US
Practice Address - Phone:757-762-0313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251E00000XAgenciesHome Health
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances