Organization Active NPI

Endless Love Supportive Services LLC

  • Developmentally Disabled Services Day Training Agency
  • Virginia Beach, VA
National Provider Identifier
1619839479
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ENDLESS LOVE SUPPORTIVE SERVICES LLC
Practice address
4663 Haygood Rd Ste 206
Virginia Beach, VA 23455-5442
Phone
(757) 472-2055
Fax
(757) 407-0429
NPI assigned
Dec 1, 2025
Last updated
Dec 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Nikita BanksNPI 1306451448
Title
Owner
Phone
(757) 472-2055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

4663 Haygood Rd Ste 206
Virginia Beach, VA 23455-5442

Mailing address

4663 Haygood Rd Ste 206
Virginia Beach, VA 23455-5442
Phone (757) 472-2055

National Provider Directory

National Provider Directory

Locations

4663 Haygood Rd
Ste 206
Virginia Beach, VA 23455
Phone (757) 656-7977

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1619839479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4663 HAYGOOD RD STE 206",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555442",
            "telephone_number": "757-472-2055",
            "fax_number": "757-407-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4663 HAYGOOD RD STE 206",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555442",
            "telephone_number": "757-472-2055",
            "fax_number": "757-407-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDLESS LOVE SUPPORTIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-472-2055"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.