Aa&G Group Home,LLC.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

74901001 Issued in VA

Legal business name

AA&G GROUP HOME,LLC.

Practice address

100 Golden Sunset Lane
Suffolk, VA 23435

Phone

(757) 639-4336

NPI assigned

May 8, 2007

Last updated

Aug 22, 2020By 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

Ms. Gwendolyn Evon McCoy, OWNER

Title

Director

Phone

(757) 337-0375

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205049970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 JEFFERSON ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237045431",
            "telephone_number": "757-337-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GOLDEN SUNSET LANE",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "23435",
            "telephone_number": "757-639-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AA&G GROUP HOME,LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "EVON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-337-0375",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "74901001",
            "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 22, 2020; 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.