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A & J RESIDENTIAL SERVICES LLC
NPI 1376188912
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Petersburg, VA

Active since November 07, 2019
2022 COUNTRY LANE CT, PETERSBURG, VA 23805(804) 721-0707 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 8, 2023, Nov 9, 2020, Feb 19, 2020 and 1 more (4 updates tracked since 2019).

About A & J Residential Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

A & J RESIDENTIAL SERVICES LLC (NPI 1376188912) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Petersburg, Virginia and active in the NPI registry since November 2019. The organization lists Jennifer K Perez, Ceo/nurse, as its authorized official.

NPPES Registry Identity

NPI1376188912
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameA & J RESIDENTIAL SERVICES LLC
Location Address2022 COUNTRY LANE CTPetersburg, VA 23805-2005
Mailing Address2022 Country Lane CtPetersburg, VA 23805-2005 · (804) 721-0707
Phone(804) 721-0707
Organization SubpartNo
Authorized OfficialJennifer K PerezCeo/nurse · (804) 721-0707
Enumeration DateNovember 7, 2019
Last NPPES UpdateNovember 8, 20234 updates tracked since enumeration
NPPES CertifiedMay 28, 2022
✔ NPI 1376188912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedNursing CareTaxonomy 251J00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
2022 COUNTRY LANE CT, Petersburg, VA 23805
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Other Identifiers 1

Medicaid3068VA

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Erica ***** November 8, 2023

5/5
Great service!!!
Provider 5/5 Office Staff 5/5
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is A & J Residential Services LLC's NPI number?

The NPI number for A & J Residential Services LLC is 1376188912. It was assigned to this organization in the NPPES registry on November 7, 2019.

Where is A & J Residential Services LLC located?

A & J Residential Services LLC is located at 2022 Country Lane Ct, Petersburg, VA 23805. The listed phone number is (804) 721-0707.

What is A & J Residential Services LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for A & J Residential Services LLC was last updated on November 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.