Belmont Day Support LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

BELMONT DAY SUPPORT LLC

Practice address

11073 Colonel Armistead Dr Ste 101
Ruther Glen, VA 22546-3367

Phone

(757) 560-9507

NPI assigned

Nov 14, 2024

Organization subpart

No

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

Authorized official

Name

Tenisha Stephen

Title

Owner

Phone

(804) 940-6671

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1235953357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11073 COLONEL ARMISTEAD DR STE 101",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225463367",
            "telephone_number": "757-560-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11073 COLONEL ARMISTEAD DR STE 101",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225463367",
            "telephone_number": "757-560-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT DAY SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "STEPHEN",
        "authorized_official_first_name": "TENISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-940-6671"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "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 Nov 14, 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.