Obedient Care LLC

Primary specialty

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

Legal business name

OBEDIENT CARE LLC

Practice address

5545 Baccalaureate Dr
VA Beach, VA 23462-7330

Phone

(757) 816-0619

NPI assigned

Sep 20, 2019

Organization subpart

No

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

Authorized official

Name

Reynaldo Roa

Title

Ceo

Phone

(757) 816-0619

Specialties & licenses 1

Addresses

Other names 1

• Obedient Care LLC Doing business as

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1831740885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 CROSSTIMBER WAY",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "234562474",
            "telephone_number": "757-816-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5545 BACCALAUREATE DR",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "234627330",
            "telephone_number": "757-816-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBEDIENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "ROA",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-816-0619"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Obedient Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John M Morina, MD
• Nana Care
• Kimberly Ann Naylor, PT
• New Family Horizons
• Hannah M Newhall, PAC
• One on One Labs LLC
• Lauren K Paluch, PA
• Paramedical Services of VA Inc
• Parbhur Singh MD
• Rebecca M Parker, NP

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in VA Beach, VA
• Providers in VA Beach, 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 20, 2019; 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.