Provider Demographics
NPI:1619117223
Name:CLEARVIEW SERVICES, LLC
Entity Type:Organization
Organization Name:CLEARVIEW SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:LORENZO
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEMONS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, DBA
Authorized Official - Phone:757-301-1797
Mailing Address - Street 1:PO BOX 6194
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-0194
Mailing Address - Country:US
Mailing Address - Phone:757-301-1797
Mailing Address - Fax:866-819-4661
Practice Address - Street 1:4551 PROFESSIONAL CIR
Practice Address - Street 2:SUITE 102
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-6442
Practice Address - Country:US
Practice Address - Phone:757-301-1797
Practice Address - Fax:866-819-4661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163WC2100X
VA251E00000X, 251G00000X, 385H00000X
VAHCO-12624251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC2100XNursing Service ProvidersRegistered NurseContinence CareGroup - Single Specialty
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing CareGroup - Single Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1619117223Medicaid
VA1750600953Medicaid