Residential Impact Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RESIDENTIAL IMPACT SERVICES LLC

Practice address

5245 Cleveland St Ste 207
Virginia Beach, VA 23462-6505

Phone

(757) 372-7330

NPI assigned

Jun 18, 2024

Last updated

Aug 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jarques Dorrell Hendricks

Title

Owner

Phone

(757) 372-7330

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1154164077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 CLEVELAND ST STE 207",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626505",
            "telephone_number": "757-372-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 CLEVELAND ST STE 207",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626505",
            "telephone_number": "757-372-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL IMPACT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "JARQUES",
        "authorized_official_middle_name": "DORRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-372-7330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.