Jo First Residential Service LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

JO FIRST RESIDENTIAL SERVICE LLC

Practice address

10624 Sarata LN
Chesterfield, VA 23832-7117

Phone

(804) 380-3504

Fax

(804) 380-3504

NPI assigned

Jun 28, 2024

Last updated

Jun 28, 2024By 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

Tilaye Kassahun AbateNPI 1033617592

Title

Ceo

Phone

(804) 380-3504

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tilaye K Abate

  • Non-emergency Medical Transport (VAN)
  • Richmond, VA
  • NPI 1033617592
  NPD Authorized official

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1962247064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 QUAIL COVEY RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232383488",
            "telephone_number": "804-380-3504",
            "fax_number": "804-380-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10624 SARATA LN",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238327117",
            "telephone_number": "804-380-3504",
            "fax_number": "804-380-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JO FIRST RESIDENTIAL SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "ABATE",
        "authorized_official_first_name": "TILAYE",
        "authorized_official_middle_name": "KASSAHUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-380-3504"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stewart W Jennings, MD
• Laura Joyce Jensen, N.P.
• Douglas Alan Jessup, RN
• Jetlyfe Logistics LLC
• Jill Newton Counseling and Consultation Services LLC
• Jericia Vetiss Johnson Robinson, M.ED.
• Amelia Lanet Johnson
• Dianna N Johnson, L.C.S.W.
• Carrie L Jones, L.P.C.
• Crystal Jones

• Assisted Living Facility (Behavioral Disturbances) in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Assisted Living Facility (Behavioral Disturbances) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.