Family Choice Living LLC.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

FAMILY CHOICE LIVING LLC.

Practice address

4071 Ravine Gap Dr
Suffolk, VA 23434-3051

Phone

(757) 218-5884

NPI assigned

Sep 27, 2022

Organization subpart

No

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

Authorized official

Name

Dewayne O'Neal

Title

Ceo

Phone

(757) 837-5748

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Family Choice Living LLC. Former legal business name

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1144944778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 RAVINE GAP DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234343051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 RAVINE GAP DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234343051",
            "telephone_number": "757-218-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHOICE LIVING LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "O'NEAL",
        "authorized_official_first_name": "DEWAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-837-5748"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBHDS",
            "identifier": "00-000-3723",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTIAL GROUP HOME",
            "identifier": "00-000-3723",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Choice Living LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.