Laquita McCrae

Primary specialty

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

Practice address

418 Old Keswick LN
South Prince George, VA 23805-7867

Phone

(434) 885-8915

NPI assigned

Feb 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Loving Care Residential Services LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • South Prince George, VA
  • NPI 1669171617

  Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official
• Renewed Hope Behavioral Services, LLC

  • Community/Behavioral Health Agency
  • Petersburg, VA
  • NPI 1871359471
  NPD Authorized official

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1457050551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 OLD KESWICK LN",
            "city": "SOUTH PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238057867",
            "telephone_number": "434-885-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 OLD KESWICK LN",
            "city": "SOUTH PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238057867",
            "telephone_number": "434-885-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAE",
        "first_name": "LAQUITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guiding Paths Supportive Services, LLC
• Barbette Hicks
• Tanisha Lewis
• Loving Care Residential Services LLC
• Madison Transport LLC
• Emma Layne Moody
• Jodie Pointer Myers, RDH
• Tonja New
• Shannon Oconnor
• Bethany Pagano

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in South Prince George, VA
• Providers in South Prince George, VA by specialty
• 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 Feb 27, 2023; 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.