Collaborative Residential Care, LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

COLLABORATIVE RESIDENTIAL CARE, LLC

Practice address

5507 Belle Pond Dr
North Chesterfield, VA 23234-3400

Phone

(804) 475-1903

NPI assigned

Mar 12, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Celeste Brooks, RN

Title

Owner/Director

Phone

(804) 475-1903

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1700685591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7814 MILL RIVER CT",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238329238",
            "telephone_number": "804-475-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 BELLE POND DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232343400",
            "telephone_number": "804-475-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE RESIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "804-475-1903",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James C Coleman
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• Tanya Jessica Coleman, AGNP-C
• Tomega P. Coleman, LMT
• Shaquanta Tanique Coles
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• Lauren Ashley Collins, LCSW
• Sarah Grace Collins
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• Personal Care Attendant in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Personal Care Attendant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.