AJ & T INDEPENDENT GROUP HOMES (NPI# 1376647552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376647552 |
| Entity Type | Organization |
| Organization Name | AJ & T INDEPENDENT GROUP HOMES |
| Practice Address |
5132 Andover Rd Virginia Beach VA 23464-6022 |
| Mailing Address |
3420 Plum Crescent Virginia Beach VA 23453-2815 |
| Practice Telephone | 7572269037 |
| Practice Fax Number | 7573012508 |
| Mailing Telephone | 7574049761 |
| Mailing Fax Number | 7573012508 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ALICIA OROBIA CRUZ (RESIDENTIAL DIRECTOR) |
| Authorized Official Telephone | 7572269037 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 74501001 | VA | Residential Treatment Facilities |
| X | 314000000X | Skilled Nursing Facility | VA | Nursing & Custodial Care Facilities | |
| X | 385H00000X | Respite Care | VA | Respite Care Facility |
| Street Address |
5132 ANDOVER RD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23464-6022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610581 | Ainsley's Angels of America | Durable Medical Equipment & Medical Supplies | 828 Cabrini Place, Virginia Beach, VA 23464 | 2019-03-29 |
| 1104313055 | Your Family Is Family Home Healthcare Services, LLC | Respite Care | 1311 Hafford Road, Virginia Beach, VA 23464 | 2018-04-17 |
| 1497274765 | Jamie Crisman | Occupational Therapist | 1400 Fordham Drive, Virginia Beach, VA 23464 | 2017-09-18 |
| 1861919334 | Joshua Hoxter | Chiropractor | 6070 Indian River Rd Ste 102, Virginia Beach, VA 23464 | 2017-08-25 |
| 1669909917 | Toni Faye Tayag | Specialist/Technologist | 909 Tidemark Court, Virginia Beach, VA 23464 | 2017-05-17 |
| 1922545540 | Divinefavor LLC | Non-emergency Medical Transport (VAN) | 1014 Level Green Blvd, Virginia Beach, VA 23464 | 2017-01-20 |
| 1326499807 | David Klucznik | Dentist | 5564 Indian River Road, Virginia Beach, VA 23464 | 2016-06-27 |
| 1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
| 1588071807 | Linda Mathis | Skilled Nursing Facility | 5520 Indian Road, Virginia Beach, VA 23464 | 2014-07-18 |
| 1083045561 | Manny-nelson Med LLC | Durable Medical Equipment & Medical Supplies | 1612 Centerville Turnpike, Suite 308, Virginia Beach, VA 23464 | 2013-12-09 |
| Find all providers in zip 23464 | ||||
| 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 |
|---|---|---|---|---|
| 1184289654 | Joseph Barton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2013 Monument Dr, Virginia Beach, VA 23464-8732 | 2019-05-09 |
| 1497228118 | Kazvas Family Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1117 Valley Stream Ct, Virginia Beach, VA 23464-6031 | 2019-01-04 |
| 1609350800 | Friend Village LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3604 Kingdom Ct, Virginia Beach, VA 23452-3202 | 2018-09-24 |
| 1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
| 1962852343 | Lumen Christi Home of Virginia Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 177 S Plaza Trl, Virginia Beach, VA 23452-5557 | 2016-06-16 |
| 1144686965 | Visions Community Services,llc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 370 Cleveland Pl, Virginia Beach, VA 23462-6529 | 2016-01-08 |
| 1619371655 | Our Home Is Your Home II, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5644 Anthony Rd, Virginia Beach, VA 23455-4604 | 2014-10-20 |
| 1396181020 | Virginia Support Group, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4663 Haygood Rd, Suite 201, Virginia Beach, VA 23455-5442 | 2013-05-21 |
| 1306281779 | Wecare Community Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3953 Wilmington Rd, Virginia Beach, VA 23453-1739 | 2013-04-30 |
| 1215275672 | Sister's Choice, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5072 Andover Rd, Virginia Beach, VA 23464-6020 | 2013-01-19 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23464 |
Please comment or provide details below to improve the information on AJ & T INDEPENDENT GROUP HOMES.
| 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.