SELFLESS SERVICE LLC (NPI# 1962935015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962935015 |
Entity Type | Organization |
Organization Name | SELFLESS SERVICE LLC |
Other Organization Name | SELFLESS SERVICE LLC |
Practice Address |
256 E Ellerslie Ave Ste C Colonial Heights VA 23834 |
Mailing Address |
256 E Ellerslie Ave Ste C Colonial Heights VA 23834-1407 |
Practice Telephone | 8048052178 |
Practice Fax Number | 8048052179 |
Mailing Telephone | 8048052178 |
Mailing Fax Number | 8048052179 |
Enumeration Date | 2017-04-05 |
Last Update Date | 2018-07-06 |
Authorized Official Name | MR. DAVID W. CONOLLY JR. (PRESIDENT/CEO) |
Authorized Official Telephone | 8042959585 |
Authorized Official Credential | SFC(R) |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 253Z00000X | In Home Supportive Care | HCO-171611 | VA | Agencies |
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 253Z00000X | In Home Supportive Care | HCO-181611 | VA | Agencies |
Other Name | Type Code |
---|---|
Home Helpers & Direct Link | Doing Business As Name - Organization |
Selfless Service LLC | Former Legal Business Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SELFLESS SERVICE LLC | 147 Pulaski St, Brooklyn, NY 11206-6805 |
Street Address |
256 E ELLERSLIE AVE STE C |
City | COLONIAL HEIGHTS |
State | VA |
Zip Code | 23834 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093323040 | Latoya Harris | Social Worker | 3220 Loganwood Dr, South Chesterfield, VA 23834 | 2020-07-15 |
1619598653 | Jasmine Cutler | Nurse Practitioner | 445 Charles Dimmock Pkwy, Colonial Heights, VA 23834 | 2020-04-30 |
1942841275 | Stephanie Benedict | Technician | 330 King Fisher Way, Col. Heights, VA 23834 | 2019-10-08 |
1134628852 | Stacie J Lewis | Hearing Instrument Specialist | 320b Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2018-02-08 |
1073020194 | Colonial Heights Physicians, LLC | Emergency Medicine | 60 East Roslyn Court, Colonial Heights, VA 23834 | 2018-01-10 |
1639681349 | Nicholas C Vickers | Hearing Instrument Specialist | 320 B Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2017-11-03 |
1134594864 | Dominion Aba | Early Intervention Provider Agency | 2903 Bouleavard, Colonial Heights, VA 23834 | 2015-12-07 |
1558743039 | Dream Care of Va LLC | Durable Medical Equipment & Medical Supplies | 130 Temple Lake Dr Ste 4, Colonial Heights, VA 23834 | 2015-06-22 |
1811311343 | Colonial Orthopaedics Inc | Orthopaedic Surgery | 325 Charles Dimmock Parkway, Suite 301, Colonial Heights, VA 23834 | 2014-02-04 |
1184964108 | Roya Kordi Mirshahi | Physical Therapist | 320 Charles Dimmock Parkway, Suite 6, Colonial Heights, VA 23834 | 2013-02-28 |
Find all providers in zip 23834 |
Taxonomy Code | 253Z00000X |
Grouping | Agencies |
Classification | In Home Supportive Care |
An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538528195 | Central Virginia Home Care, LLC - Colonial Heights | In Home Supportive Care | 3601 Boulevard, Suite B, Colonial Heights, VA 23834-1338 | 2016-02-11 |
1205202314 | Cumberbatch Nursing Service and Facilitation | In Home Supportive Care | 108 Conjurers Dr, Colonial Heights, VA 23834-2206 | 2015-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396346227 | Coach for Seniors Inc. | In Home Supportive Care | 7020 Petunia St, Springfield, VA 22152-3448 | 2020-11-06 |
1174122162 | Jotava | In Home Supportive Care | 1607 Titanium Avenue, 202, Midlothian, VA 23114 | 2020-10-20 |
1629675954 | Uprising Healthcare Services LLC | In Home Supportive Care | 93 Algrace Blvd, Stafford, VA 22556-8608 | 2020-10-09 |
1356958136 | Laugh & Live, LLC | In Home Supportive Care | 1702 Todds Lane, Suite 215, Hampton, VA 23666-3213 | 2020-09-25 |
1437765716 | Healing Hands Home Health, LLC | In Home Supportive Care | 16520 Goodes Bridge Rd, Amelia Court House, VA 23002-4822 | 2020-09-22 |
1861005639 | Icare Home Health Va LLC | In Home Supportive Care | 208 N 2nd Ave Ste 5, Hopewell, VA 23860-2703 | 2020-08-31 |
1518570860 | Prime Care Consultants LLC | In Home Supportive Care | 3707 Virginia Beach Blvd Ste 202, Virginia Beach, VA 23452-3412 | 2020-08-26 |
1861004491 | Independent Living Home Care L. L.c. | In Home Supportive Care | 6115 Mantle Rd, Burke, VA 22015-3807 | 2020-08-17 |
1407466931 | Francine Rose Williams | In Home Supportive Care | 17140 Shands Rd, South Prince George, VA 23805-8537 | 2020-08-10 |
1255940896 | Elderlescent Care Incorporated | In Home Supportive Care | 3520 Skipping Rock Way, Richmond, VA 23234-2971 | 2020-07-29 |
Find all providers with the same taxonomy |
City | COLONIAL HEIGHTS |
Zip Code | 23834 |
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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.