Organization Active NPI

Our Loved Ones

  • Adult Day Care Clinic/Center
  • Prince George, VA
National Provider Identifier
1235814765
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
OUR LOVED ONES
Practice address
4821 Prince George Dr
Abc
Prince George, VA 23875-2762
Phone
(804) 878-6636
NPI assigned
Jun 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Nicole Jones-Shenjobi, RN, BSN
Title
Owner/Director
Phone
(804) 663-5193

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

4821 Prince George Dr
Abc
Prince George, VA 23875-2762

Mailing address

4821 Prince George Dr.
Abc
Prince George, VA 23875-2762
Phone (804) 668-5193

National Provider Directory

National Provider Directory

Locations

4821 Prince George Dr
Prince George, VA 23875
Phone (804) 878-6636

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": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1235814765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 PRINCE GEORGE DR.",
            "address_2": "ABC",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238752762",
            "telephone_number": "804-668-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 PRINCE GEORGE DR",
            "address_2": "ABC",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238752762",
            "telephone_number": "804-878-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LOVED ONES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "JONES-SHENJOBI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "804-663-5193",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince George, VA

Sources for this page

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