MEDICARE: JQ ADULT SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1942071543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JQ ADULT SERVICES, LLC

Provider Business Mailing Address
First Line	:	1811 CANDLELIGHT DR
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23325-4763
Country	:	US
Telephone Number	:	757-230-4173
Fax Number	:

Provider Business Practice Location Address
First Line	:	5936 VILLAGE ST STE B
Second Line	:
City	:	PORTSMOUTH
State	:	VA
Zip	:	23703-3213
Country	:	US
Telephone Number	:	757-230-4173
Fax Number	:	757-540-1199

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MISS SIMONE SKEETER
Credential	:
Telephone Number	:	757-230-4173

Provider Enumeration Date	:	01/11/2024
Last Update Date	:	01/07/2026

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