MEDICARE: TIMELESS DEDICATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
3	253Z00000X	In Home Supportive Care Agency
4	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
5	3140N1450X	Pediatric Skilled Nursing Facility
6	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1467242370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIMELESS DEDICATION LLC

Provider Business Mailing Address
First Line	:	8014 MIDLOTHIAN TPKE STE 318
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-5291
Country	:	US
Telephone Number	:	804-866-7050
Fax Number	:	804-560-5567

Provider Business Practice Location Address
First Line	:	8014 MIDLOTHIAN TPKE STE 318
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-5291
Country	:	US
Telephone Number	:	804-866-7050
Fax Number	:	804-560-5567

Authorized Official
Title or Position	:	OWNER
Name	:	JAQUELL WILSON
Credential	:
Telephone Number	:	804-866-7050

Provider Enumeration Date	:	05/12/2025
Last Update Date	:	03/10/2026

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Directions to “TIMELESS DEDICATION LLC ” Practice Location

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