NPIMap

Organization Active NPI

JDM of VA LLC

  • Preferred Provider Organization
  • Richmond, VA
National Provider Identifier
1598860488
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
52402006 Issued in VA
Legal business name
JDM OF VA LLC
Practice address
6201 Midlothian Tpke
Richmond, VA 23225-5809
Phone
(804) 674-1600
Fax
(804) 674-1688
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Berkeley Anthony Alexander, NA
Title
President
Phone
(804) 788-1956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 52402006 VA Primary

Addresses

Primary practice location

6201 Midlothian Tpke
Richmond, VA 23225-5809

Mailing address

7 S Adams St
Richmond, VA 23220-5601
Phone (804) 788-1956

Other names 1

  • DBAADULT DAY SERVICES OF SOUTH RICHMOND Other name

National Provider Directory

National Provider Directory
Tax ID family
Adult Day Services of South Richmond2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7 S Adams St
Richmond, VA 23220

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598860488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 S ADAMS ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232205601",
            "telephone_number": "804-788-1956",
            "fax_number": "804-788-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 MIDLOTHIAN TPKE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232255809",
            "telephone_number": "804-674-1600",
            "fax_number": "804-674-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDM OF VA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "BERKELEY",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-788-1956",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NA"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "52402006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBAADULT DAY SERVICES OF SOUTH RICHMOND",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • 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.