Organization
UNITED SUPPORTIVE SERVICES OF VIRGINIA LLC
Active
Parent organization
GUARDIAN RESIDENTIAL SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GUARDIAN RESIDENTIAL SERVICES, INC
Authorized official
MR. JOHN THOMAS REDD III (CEO)
(804) 359-0613
Entity
Organization
Contact information
Practice address
1510 WILLOW LAWN DR, 100, RICHMOND, VA 23230-3429
(804) 359-0613
(804) 359-0614
Mailing address
1510 WILLOW LAWN DR, 100, RICHMOND, VA 23230-3429
(804) 359-0613
(804) 359-0614
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
229698
VA
251B00000X
Case Management Agency
Primary
229698
VA
253Z00000X
In Home Supportive Care Agency
229698
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
229698
VIRGINIA DEPARTMENT OF AGING AND REHABILITATIVE SERVICES
VA
Enumeration date
10/06/2014
Last updated
10/06/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us