Organization Active NPI

Queens United Wellness Center,LLC

  • Adult Companion
  • Virginia Beach, VA
National Provider Identifier
1992269872
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Legal business name
QUEENS UNITED WELLNESS CENTER,LLC
Practice address
676 Oleander Cir
Virginia Beach, VA 23464-4218
Phone
(757) 389-3005
Fax
(757) 495-0729
NPI assigned
Jan 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Authorized official

Name
Mrs. Queen R Fitzgerald
Title
Ceo/ Owner
Phone
(757) 389-3005

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X Primary
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X
Respite Care 385H00000X

Addresses

Primary practice location

676 Oleander Cir
Virginia Beach, VA 23464-4218

Mailing address

676 Oleander Cir
Virginia Beach, VA 23464-4218
Phone (757) 389-3005

Other names 1

  • Queens United Wellness Center, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1992269872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 OLEANDER CIR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644218",
            "telephone_number": "757-389-3005",
            "fax_number": "757-495-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 OLEANDER CIR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644218",
            "telephone_number": "757-389-3005",
            "fax_number": "757-495-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS UNITED WELLNESS CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "QUEEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "757-389-3005",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queens United Wellness Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.