FRIEND VILLAGE LLC (NPI# 1609350800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609350800 |
| Entity Type | Organization |
| Organization Name | FRIEND VILLAGE LLC |
| Practice Address |
3604 Kingdom Ct Virginia Beach VA 23452-3202 |
| Practice Telephone | 7574866983 |
| Mailing Telephone | 7574866983 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |
| Authorized Official Name | MS. LUV TOISHEA FRIEND (CEO) |
| Authorized Official Telephone | 9174396563 |
| Authorized Official Credential | RN |
| 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 | Residential Treatment Facilities |
| Street Address |
3604 KINGDOM CT |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 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 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
| 1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
| Find all providers in zip 23452 | ||||
| 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 |
| 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 |
| 1609178656 | Ac Support Systems, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4412 Glen Lake Path, Virginia Beach, VA 23462-4714 | 2010-11-24 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
Please comment or provide details below to improve the information on FRIEND VILLAGE LLC.
| 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.