Sponsored Residential Services of Central Virginia, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

2758 Issued in VA

Legal business name

SPONSORED RESIDENTIAL SERVICES OF CENTRAL VIRGINIA, LLC

Practice address

214 Collington Dr
Lynchburg, VA 24502-2506

Phone

(434) 316-3861

Fax

(434) 534-3031

NPI assigned

Sep 7, 2017

Organization subpart

No

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

Authorized official

Name

Amy Anderson Dove, BSHA, LPN

Title

Owner

Phone

(434) 316-3861

Specialties & licenses 1

Addresses

Other names 1

• SRSCV Other name

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346768546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 COLLINGTON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022506",
            "telephone_number": "434-316-3861",
            "fax_number": "434-534-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 COLLINGTON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022506",
            "telephone_number": "434-316-3861",
            "fax_number": "434-534-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPONSORED RESIDENTIAL SERVICES OF CENTRAL VIRGINIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DOVE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-316-3861",
        "authorized_official_credential": "BSHA, LPN"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "2758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SRSCV",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tiffany White Spicer, PHARM D
• Stephanie Marie Spina, PA-C
• Chantel Scott Spinner, CERTIFIED DOULA
• Earl Morris Spinner
• Natasha Spinner, LPC
• Timothy D Spooner, D.O.
• Parker J Spratling
• Carissa Fitch Sprinkle, DDS
• Blakley Walker Sproles, PA-C
• Samara Nicole St Clair, BCABA

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

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