Active NPI
Selfless Service LLC
- In Home Supportive Care Agency
- Colonial Heights, VA
National Provider Identifier
1962935015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- HCO-181611
- Legal business name
- SELFLESS SERVICE LLC
- Practice address
- 256 E Ellerslie Ave Ste C
Colonial Heights, VA 23834 - Phone
- (804) 805-2178
- Fax
- (804) 805-2179
- NPI assigned
- Apr 5, 2017
- 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
- Mr. David W. Conolly Jr., SFC(R)
- Title
- President/Ceo
- Phone
- (804) 295-9585
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | HCO-171611 | VA | |
| In Home Supportive Care Agency | 253Z00000X | HCO-181611 | VA | Primary |
| In Home Supportive Care Agency | 253Z00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
256 E Ellerslie Ave Ste C
Colonial Heights, VA 23834
Mailing address
256 E Ellerslie Ave Ste B
Colonial Heights, VA 23834-1407
Phone (804) 805-2178
Other practice location 1
351 Campbell Ave SW Ste 100-11
Roanoke, VA 24016-3637
Phone (804) 295-9585
Other practice location 2
999 Waterside Dr Ste 2525
Norfolk, VA 23510-3316
Phone (804) 295-9585
Other practice location 3
410 S Rampart Blvd Ste 390341
Las Vegas, NV 89145-5726
Phone (804) 295-9585
Other names 2
- Home Helpers & Direct Link
- Selfless Service LLC
National Provider Directory
National Provider DirectoryLocations
410 S Rampart Blvd
Ste 390341
Las Vegas, NV 89145
Phone (804) 295-9585
256 E Ellerslie Ave
Ste B
Colonial Heights, VA 23834
Phone (757) 256-0203
256 E Ellerslie Ave
Ste C
Colonial Heights, VA 23834
Phone (804) 805-2178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754352000000",
"number": "1962935015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 E ELLERSLIE AVE STE B",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "238341407",
"telephone_number": "804-805-2178",
"fax_number": "804-805-2179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 E ELLERSLIE AVE STE C",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "23834",
"telephone_number": "804-805-2178",
"fax_number": "804-805-2179"
}
],
"practiceLocations": [
{
"address_1": "351 Campbell Ave SW Ste 100-11",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240163637",
"country_code": "US",
"telephone_number": "804-295-9585",
"fax_number": "804-805-2179",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "999 Waterside Dr Ste 2525",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235103316",
"country_code": "US",
"telephone_number": "804-295-9585",
"fax_number": "804-805-2179",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "410 S Rampart Blvd Ste 390341",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891455726",
"country_code": "US",
"telephone_number": "804-295-9585",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SELFLESS SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-05",
"last_updated": "2025-08-05",
"certification_date": "2025-07-31",
"status": "A",
"authorized_official_last_name": "CONOLLY",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "804-295-9585",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "SFC(R)"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "VA",
"license": "HCO-171611",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "VA",
"license": "HCO-181611",
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Home Helpers & Direct Link",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Selfless Service LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Colonial Heights, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.