Organization Active NPI

Key Support Services, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Henrico, VA
National Provider Identifier
1346579042
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
1503 Issued in VA
Legal business name
KEY SUPPORT SERVICES, LLC
Practice address
1893 Billingsgate Cir Ste B
Henrico, VA 23238-4220
Phone
(804) 519-7040
Fax
(804) 477-7900
NPI assigned
Dec 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Mrs. Pamela A Jones
Title
Co-Owner
Phone
(804) 519-7040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 1503 VA Primary
Private Vehicle 347C00000X

Addresses

Primary practice location

1893 Billingsgate Cir Ste B
Henrico, VA 23238-4220

Mailing address

1893 Billingsgate Cir Ste B
Henrico, VA 23238-4220
Phone (804) 519-7040

National Provider Directory

National Provider Directory

Locations

1897 Billingsgate Cir
Ste A
Henrico, VA 23238

1893 Billingsgate Cir
Ste B
Henrico, VA 23238
Phone (804) 519-7040

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1346579042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 BILLINGSGATE CIR STE B",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232384220",
            "telephone_number": "804-519-7040",
            "fax_number": "804-477-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 BILLINGSGATE CIR STE B",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232384220",
            "telephone_number": "804-519-7040",
            "fax_number": "804-477-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "804-519-7040",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "1503",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 28, 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.