Kimberlynn's Company, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

KIMBERLYNN'S COMPANY, LLC

Practice address

414 E Tennessee Ave
Crewe, VA 23930-2028

Phone

(804) 625-5174

NPI assigned

Jun 6, 2023

Last updated

Jun 6, 2023By 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

Kimberly Moses

Title

Ceo

Phone

(804) 625-5174

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1679267249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 TUNSTALL AVE",
            "city": "BLACKSTONE",
            "state": "VA",
            "postal_code": "238241619",
            "telephone_number": "804-625-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E TENNESSEE AVE",
            "city": "CREWE",
            "state": "VA",
            "postal_code": "239302028",
            "telephone_number": "804-625-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLYNN'S COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-625-5174"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chioma Adaku Griffin
• Clarence Edward Hall II, M.D.
• Avante Mone Hawkes
• House Calls M.D.
• Housecalls MD
• Venugopal Mateti, RPH
• Nottoway Co Emergency Squad
• Nottoway County Emergency Squad, Inc.
• Amanda Eanes Reed, M.S. CCC-SLP
• Riccobene & Associates CC, DDS, PC (Commonwealth Dentistry - Crewe)

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Crewe, VA
• Providers in Crewe, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.