Active NPI
Queens United Wellness Center,LLC
- Adult Companion
- Virginia Beach, VA
National Provider Identifier
1992269872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | |||
| Adult Companion | 372600000X | Primary | ||
| Nurse's Aide | 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
National Provider Directory
National Provider DirectoryNPI 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.