UNIQUE FRIENDS LLC (NPI# 1659454858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659454858 |
| Entity Type | Organization |
| Organization Name | UNIQUE FRIENDS LLC |
| Practice Address |
3805 Old Farm Rd Portsmouth VA 23703 |
| Practice Telephone | 7574844009 |
| Practice Fax Number | 7576868990 |
| Mailing Telephone | 7574844009 |
| Mailing Fax Number | 7576868990 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. CAROLYN LAVERNE WALTON (ADMINISTRATOR) |
| Authorized Official Telephone | 7574844009 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | FIRST HEALTH DMAS | 45401001 | 01 |
| Street Address |
3805 OLD FARM RD |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174037444 | Kelly Foster | Massage Therapist | 3108 Tyre Neck Rd Ste D, Portsmouth, VA 23703 | 2017-11-25 |
| 1578072104 | Katherine Armstrong Wise | Behavior Technician | 3120 Verne Ave, Portsmouth, VA 23703 | 2017-09-27 |
| 1891223913 | Ashley Rebecca Anderson | Dentist | 5915 High Street W, Portsmouth, VA 23703 | 2017-06-02 |
| 1881126019 | Anas Elmahdi | Specialist | 5205 Sweetbriar C., 5205 Sweetbriar C., Portsmouth, VA 23703 | 2017-03-28 |
| 1578003554 | Elyse Buttery | Nurse Practitioner | Mast One 1040 University Blvd, Suite 200, Portsmouth, VA 23703 | 2017-02-24 |
| 1376948349 | Charles Douglas Knight | Military Health Care Provider | Uss Maryland Ssbn 738, Fpo, AA 23703 | 2014-11-03 |
| 1689929382 | Positive Connections, Inc | Community/Behavioral Health | 3823d Meherrin River Reach, Portsmouth, VA 23703 | 2012-07-18 |
| 1225319874 | Sanaz Namin | Pharmacist | 5601 High Street, Porstmouth, VA 23703 | 2011-09-08 |
| 1295029767 | Maggie Jackson | Dental Hygienist | 4000 Coast Guard Blvd., Portsmouth, VA 23703 | 2011-06-02 |
| 1679804892 | Amy Kathleenn Gaspar | Specialist/Technologist, Other | 4113 Pendleton Rd, Portsmouth, VA 23703 | 2010-01-28 |
| Find all providers in zip 23703 | ||||
| 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 |
|---|---|---|---|---|
| 1306451448 | Nikita S Banks | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 505 Cumberland Street Ave, Ste 2, Portsmouth, VA 23704-2370 | 2020-09-15 |
| 1497399893 | Makesha Danielle Brown | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20 Centre Port Cir, Portsmouth, VA 23703-5453 | 2019-10-30 |
| 1194281063 | Shands Therapeutic Solutions, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6958 Kenny Ln, Portsmouth, VA 23703-2640 | 2019-02-15 |
| 1982169751 | Saai, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1413 Welcome Rd, Portsmouth, VA 23701-3137 | 2019-02-06 |
| 1003382789 | Commonwealth Community Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1512 Loren Cres, Portsmouth, VA 23701-3717 | 2018-10-19 |
| 1649707837 | Ruth's House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2721 High St, Portsmouth, VA 23707-3521 | 2017-05-18 |
| 1891192795 | Prissy's Place LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 505 Roosevelt Blvd, Portsmouth, VA 23701-4118 | 2014-11-21 |
| 1356775480 | The Abundance Group | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 601 Thorne Ave, Portsmouth, VA 23701-3557 | 2013-08-26 |
| 1275872400 | La Mariposa LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 475 Water St Apt 604, Portsmouth, VA 23704-3899 | 2013-02-07 |
| 1285930198 | Community Options, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1906 Laigh Rd, Portsmouth, VA 23701-2629 | 2011-02-10 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23703 |
Please comment or provide details below to improve the information on UNIQUE FRIENDS 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.