GERTRUDE HOMES LLC (NPI# 1073069399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073069399 |
| Entity Type | Organization |
| Organization Name | GERTRUDE HOMES LLC |
| Practice Address |
7566 Quaker Dr Suffolk VA 23437-8906 |
| Mailing Address |
7566 Quaker Drive Suffolk VA 23437-8906 |
| Practice Telephone | 7575670923 |
| Mailing Telephone | 7575670923 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |
| Authorized Official Name | CLARENCE RUSSELL JR. (OWNER) |
| Authorized Official Telephone | 7575670923 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2121 | VA | Residential Treatment Facilities |
| Street Address |
7566 QUAKER DR |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23437-8906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962984328 | Box Elder Behavioral Health LLC | Clinic/Center | 1795 Box Elder Road, Suffolk, VA 23437 | 2018-09-02 |
| 1558707984 | Amy Marie Clark | Military Health Care Provider | 260 Barnes Rd, Suffolk, VA 23437 | 2013-05-13 |
| 1548463185 | Mckenney Medical Group, Pllc | Family Medicine | 6712a S Quay Rd, Suffolk, VA 23437-8697 | 2007-06-11 |
| 1659897213 | Everett Service Provider Multi Medical Group | Durable Medical Equipment & Medical Supplies | 7296 Quaker Dr, Suffolk, VA 23437-8903 | 2017-08-16 |
| 1184111502 | John R Paige | Home Health | 7296 Quaker Dr, Suffolk, VA 23437-8903 | 2018-04-20 |
| 1780238105 | Lora Faulk Hunter | Non-emergency Medical Transport (VAN) | 6425 Okelly Dr, Suffolk, VA 23437-8978 | 2019-07-25 |
| 1629613526 | Riding With My Angels, LLC | Non-emergency Medical Transport (VAN) | 6425 Okelly Dr, Suffolk, VA 23437-8978 | 2019-11-14 |
| 1396915195 | Independent Senior Home Services | Home Health | 4599 Quaker Dr, Suffolk, VA 23437-9026 | 2008-03-07 |
| 1760572994 | A and R Healthcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6020 Holy Neck Rd, Suffolk, VA 23437-9227 | 2006-10-16 |
| 1386132363 | Branchaud Behavioral Therapy | Behavioral Analyst | 5776 Greenwood Rd, Suffolk, VA 23437-9252 | 2018-04-25 |
| Find all providers in zip 23437 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640279 | Guardian Angels Homecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1116 Pin Oak Drive, Suffolk, VA 23434-2343 | 2020-08-20 |
| 1104484856 | Alpha Omega Adult Home Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3001 Bay Shore Ln, Suffolk, VA 23435-3175 | 2019-05-29 |
| 1003377680 | Unlimited Choices LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 235 Forrest St, Suffolk, VA 23434-4710 | 2019-03-27 |
| 1134638422 | Wilson Home Health Service, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Truman Rd, Suffolk, VA 23434-3634 | 2017-09-29 |
| 1669558813 | Western Tidewater Community Services Board | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 130 Suburban Dr, Suffolk, VA 23434-2625 | 2006-10-31 |
| 1275639270 | Better Care Family Homes Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6836 Whaleyville Blvd, Suffolk, VA 23438-9737 | 2006-09-16 |
| 1386687549 | Western Tidewater Community Services Board | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 404 Finney Ave, Suffolk, VA 23434-3852 | 2006-06-14 |
| 1922041177 | Western Tidewater Community Services Board | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1406 Blythewood Ln, Suffolk, VA 23434-2804 | 2006-06-14 |
| 1275574402 | Western Tidewater Community Services Board | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 437 Jackson St, Suffolk, VA 23434-5314 | 2006-06-09 |
| 1083704316 | Warrington Investments | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 424 S Main St, Suffolk, VA 23434-5428 | 2006-10-16 |
| Find all providers in SUFFOLK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.