Assured Development Services LLC.

Primary specialty

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

License

187801001 Issued in VA

Legal business name

ASSURED DEVELOPMENT SERVICES LLC.

Practice address

5930 Osoge Rd
Richmond, VA 23225-2529

Phone

(804) 218-9300

NPI assigned

Sep 2, 2014

Last updated

Sep 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Aisha D Burgo, QIDP, M.ED

Title

Administrator/ Program Manager

Phone

(804) 218-9300

Specialties & licenses 1

Addresses

Other names 1

• Assured development Other name

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1649670118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 OSOGE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232252529",
            "telephone_number": "804-218-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 OSOGE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232252529",
            "telephone_number": "804-218-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED DEVELOPMENT SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "BURGO",
        "authorized_official_first_name": "AISHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR/ PROGRAM MANAGER",
        "authorized_official_telephone_number": "804-218-9300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "QIDP, M.ED"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "187801001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assured development",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Richmond, VA
• Providers in Richmond, 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 Sep 2, 2014; 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.