Careone Support Services, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CAREONE SUPPORT SERVICES, LLC

Doing business as

CareOne Support Service LLC
CareOne Support Services, LLC

Practice address

218 Algiers Dr
Sandston, VA 23150-1603

Phone

(804) 539-7532

NPI assigned

Oct 17, 2024

Last updated

Oct 17, 2024By 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. Quentin PhillipsNPI 1083450779

Title

Cao / Program Director

Phone

(804) 539-7532

Specialties & licenses 2

Addresses

Other names 2

• CareOne Support Service LLC Doing business as
• CareOne Support Services, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Quentin Phillips

  • Personal Care Attendant
  • Sandston, VA
  • NPI 1083450779
  NPD Authorized official

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1174344774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 ALGIERS DR",
            "city": "SANDSTON",
            "state": "VA",
            "postal_code": "231501603",
            "telephone_number": "804-539-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 ALGIERS DR",
            "city": "SANDSTON",
            "state": "VA",
            "postal_code": "231501603",
            "telephone_number": "804-539-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREONE SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "QUENTIN",
        "authorized_official_title_or_position": "CAO / PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "804-539-7532",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareOne Support Service LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CareOne Support Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Sandston, VA
• Providers in Sandston, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.