Circle of Friends, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

387-01-001 Issued in VA

Legal business name

CIRCLE OF FRIENDS, LLC

Practice address

1520 Breezeport Way
Suite 500
Suffolk, VA 23435-3754

Phone

(757) 638-4000

Fax

(757) 638-4003

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Valencia Ballard-Jones

Title

President

Phone

(757) 638-4000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376638510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 BREEZEPORT WAY",
            "address_2": "SUITE 500",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353754",
            "telephone_number": "757-638-4000",
            "fax_number": "757-638-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 BREEZEPORT WAY",
            "address_2": "SUITE 500",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353754",
            "telephone_number": "757-638-4000",
            "fax_number": "757-638-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF FRIENDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALLARD-JONES",
        "authorized_official_first_name": "VALENCIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-638-4000"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "387-01-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Suffolk, VA
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.