Organization Active NPI

Solid Rock Supportive Services, LLC

Doing business as Dba

  • Community/Behavioral Health Agency
  • Midlothian, VA
National Provider Identifier
1053186353
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOLID ROCK SUPPORTIVE SERVICES, LLC
Practice address
4419 Heidi CT
Midlothian, VA 23112-3265
Phone
(804) 221-8362
NPI assigned
Nov 17, 2023
Last updated
Aug 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dolapo Victoria Akadiri, MD
Title
Ceo
Phone
(804) 221-8362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4419 Heidi CT
Midlothian, VA 23112-3265

Mailing address

4419 Heidi CT
Midlothian, VA 23112-3265
Phone (804) 221-8362

Other names 1

  • DBA Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1053186353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 HEIDI CT",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123265",
            "telephone_number": "804-221-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 HEIDI CT",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123265",
            "telephone_number": "804-221-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLID ROCK SUPPORTIVE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "AKADIRI",
        "authorized_official_first_name": "DOLAPO",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-221-8362",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DBA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DBA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.