McKenzie Residential Home Care LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

MCKENZIE RESIDENTIAL HOME CARE LLC

Practice address

1068 Harwich Dr
Chesapeake, VA 23322-9535

Phone

(757) 376-5446

NPI assigned

Jun 12, 2024

Organization subpart

No

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

Authorized official

Name

Ada McKenzie

Title

Owner

Phone

(757) 376-5446

Specialties & licenses 1

Addresses

Other names 1

• McKenzie Residential Home Care LLC Former legal business name

Tax ID family

McKenzie Residential Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• McKenzie Residential Home Care LLC

  • Developmentally Disabled Services Day Training Agency
  • Chesapeake, VA
  • NPI 1205790094
  NPD tax ID

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1881436442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 CHARITY DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556131",
            "telephone_number": "757-376-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 HARWICH DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233229535",
            "telephone_number": "757-376-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENZIE RESIDENTIAL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "ADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-376-5446"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKenzie Residential Home Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jacqueline Ann McIntyre, C.S.A
• Lauren McIntyre, OTR/L
• Sharifa Sekai McKain, LCSW
• Roisin McKeithan, MD
• McKenzie Residential Home Care LLC
• Emma Lucia McKinley
• Cleopatra McKinney, LPN
• Dallas Symone McKnight, PHARMD
• Melissa Beth McLallen
• Phyllis Marie McLaurin, LCSW

• Developmentally Disabled Services Day Training Agency in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.