Organization Active NPI

Mao Development LLC

  • Registered Nurse
  • Henrico, VA
National Provider Identifier
1215508783
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
MAO DEVELOPMENT LLC
Practice address
825 Wales Dr
Henrico, VA 23075-1533
Phone
(180) 449-5926
Fax
(757) 231-3272
NPI assigned
Jul 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Authorized official

Name
Anthony S Christian Jr.
Title
Diretor
Phone
(804) 495-9266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

825 Wales Dr
Henrico, VA 23075-1533

Mailing address

825 Wales Dr
Henrico, VA 23075-1533
Phone (180) 449-5926

Other names 1

  • MAO DEVELOPMENT LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1215508783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 WALES DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "230751533",
            "telephone_number": "180-449-5926",
            "fax_number": "757-231-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WALES DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "230751533",
            "telephone_number": "180-449-5926",
            "fax_number": "757-231-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAO DEVELOPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRETOR",
        "authorized_official_telephone_number": "804-495-9266",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAO DEVELOPMENT LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "MAO DEVELOPMENT LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.