Active NPI
DMR Angel Sponsored Residential Services LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Suffolk, VA
National Provider Identifier
1700795374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- DMR ANGEL SPONSORED RESIDENTIAL SERVICES LLC
- Practice address
- 1530 Lake Speight Dr
Suffolk, VA 23434-6029 - Phone
- (757) 334-0474
- Fax
- (757) 934-2042
- NPI assigned
- Sep 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joanne Calvie
- Title
- Administrator
- Phone
- (757) 334-0474
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
1530 Lake Speight Dr
Suffolk, VA 23434-6029
Mailing address
1530 Lake Speight Dr
Suffolk, VA 23434-6029
Phone (757) 334-0474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788220800000",
"number": "1700795374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 LAKE SPEIGHT DR",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234346029",
"telephone_number": "757-334-0474",
"fax_number": "757-934-2042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 LAKE SPEIGHT DR",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234346029",
"telephone_number": "757-334-0474",
"fax_number": "757-934-2042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DMR ANGEL SPONSORED RESIDENTIAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A",
"authorized_official_last_name": "CALVIE",
"authorized_official_first_name": "JOANNE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "757-334-0474"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.