Resilient Health and Community Support Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2696-03-001 Issued in VA

Legal business name

RESILIENT HEALTH AND COMMUNITY SUPPORT SERVICES, LLC

Practice address

300 Franklin St Ste 231
Martinsville, VA 24112-2162

Phone

(276) 224-0949

NPI assigned

Aug 1, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Raymond V Tayag

Title

President/Ceo

Phone

(276) 224-0949

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1497279434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4202",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241154202",
            "telephone_number": "276-224-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FRANKLIN ST STE 231",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122162",
            "telephone_number": "276-224-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT HEALTH AND COMMUNITY SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "TAYAG",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "276-224-0949",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "2696-03-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2696-03-001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ray Boyz Ridez LLC
• Joseph Ray
• Raymond F. Mallinak, DDS
• RBM Opco of Martinsville LLC
• Renal Care Group of the South, Inc.
• Esther C Reynolds, LPC
• Cindy Rhoday, L.AC.
• Aaron Richardson
• Janis Jordan Richardson
• Lisa P Richardson

• Community/Behavioral Health Agency in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.