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Circle Of Friends, LLC

Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Suffolk, VA. Organization (NPI-2).

NPI number1376638510
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1376638510
Entity type
Organization (NPI-2)
Legal business name
Circle Of Friends, LLC
Organization subpart
No
Enumeration date
Oct 4, 2006
Last updated
Aug 22, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities387-01-001VAYes

Practice location

1520 Breezeport Way
Suite 500
Suffolk, VA 23435-3754

Phone 757-638-4000 · Fax 757-638-4003

Mailing address

1520 Breezeport Way
Suite 500
Suffolk, VA 23435-3754

Phone 757-638-4000 · Fax 757-638-4003

Authorized official

Valencia Ballard-Jones
President
7576384000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Intellectual and/or Developmental Disabilities Residential Treatment Facility providers in Suffolk, VA

All 8 Intellectual and/or Developmental Disabilities Residential Treatment Facility providers in Suffolk · All 2,289 providers in Suffolk

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