Organization Active NPI

Selfless Service LLC

  • In Home Supportive Care Agency
  • Colonial Heights, VA
National Provider Identifier
1962935015
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HCO-181611 Issued in VA
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

Updated by the provider on Aug 5, 2025

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)CodeLicenseStatePrimary
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 Doing business as
  • Selfless Service LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.