QUINTESSENCE RESOURCES, LLC (NPI# 1952880015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952880015 |
| Entity Type | Organization |
| Organization Name | QUINTESSENCE RESOURCES, LLC |
| Practice Address |
3318 Memorial St Alexandria VA 22306-1545 |
| Practice Telephone | 3014377204 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |
| Authorized Official Name | MS. SAMARA MONTGOMERY (OWNER/CEO) |
| Authorized Official Telephone | 3014377204 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3032 | VA | Residential Treatment Facilities |
| Street Address |
3318 MEMORIAL ST |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22306-1545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003450412 | Felicia Aboagye | Registered Nurse | Gartlan Center, 8119 Holland Road, Alexandria, VA 22306 | 2019-10-30 |
| 1306490727 | Quality Care Services LLC | Home Health | 6969 Richmond Highway, Suite 203, Alexandria, VA 22306 | 2019-07-25 |
| 1902388325 | James Mompoint | Behavioral Analyst | 3400 State St Suite G750, Salem, OR 22306 | 2018-09-01 |
| 1821507062 | Jennifer Lewis | Physical Therapist | 6856 Richmond Highway, Alexandria, VA 22306 | 2017-09-20 |
| 1477094860 | Kwabena Bonsu Owusu-boateng | Family Medicine | 8109 Tis Well Drive, Suite 511, Alexandria, VA 22306 | 2017-03-17 |
| 1164881397 | Luke Maxwell Dillon | Family Medicine | Calle Padre Ugarte #3260, Otay, BAJA CALIFORNIA 22306 | 2016-02-16 |
| 1063892743 | Bridgitte Matthews | Physical Therapist | 6856 Richmond Hwy, Alexandria, VA 22306 | 2015-06-08 |
| 1114362076 | Costco Wholesale Corporation | Pharmacy | 7940 Richmond Hwy, Alexandria, VA 22306 | 2013-05-06 |
| 1689919847 | Kings Crossing Optometry, LLC | Optometrist | 6307-d Richmond Highway, Alexandria, VA 22306 | 2012-11-29 |
| 1730423856 | Patient First Richmond Medical Group Pllc | Family Medicine | 6311 Richmond Highway, Alexandria, VA 22306 | 2012-11-15 |
| Find all providers in zip 22306 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275005886 | Transformational Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8401 Leaf Rd, Alexandria, VA 22309-1707 | 2018-12-20 |
| 1023518289 | Communitty Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7979 Alexandria Pike, Alexandria, KY 41001-1157 | 2018-02-14 |
| 1407042567 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3004 Highway 457, Alexandria, LA 71302-9255 | 2007-09-21 |
| 1306062328 | Pinecrest Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 511 Kimball Ave, Alexandria, LA 71301-5005 | 2007-04-18 |
| 1457576977 | Pinecrest Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3207 Madonna Dr, Alexandria, LA 71301-4816 | 2007-04-17 |
| 1598980096 | Pinecrest Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 528 Bob White Ln, Alexandria, LA 71303-2415 | 2007-04-17 |
| 1841414489 | St. Genevive Health Care Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3848 Independence Dr, Suite A, Alexandria, LA 71303-3533 | 2007-04-13 |
| 1447474135 | St. Genevive Health Care Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3032 Jackson St, Alexandria, LA 71301-4743 | 2007-04-12 |
| 1386727329 | Icon Community Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1240 N Pitt St, Suite Ll, Alexandria, VA 22314-5600 | 2006-10-23 |
| 1316272628 | Salvation Academy | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4810 Beauregard St, Suite G1-4, Alexandria, VA 22312-1709 | 2009-10-05 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22306 |
Please comment or provide details below to improve the information on QUINTESSENCE RESOURCES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.