Healthcare Provider Details

I. General information

NPI: 1326927633
Provider Name (Legal Business Name): JS COMMUNITY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1508 OAKFIELD AVE
NORFOLK VA
23523-1832
US

IV. Provider business mailing address

1508 OAKFIELD AVE
NORFOLK VA
23523-1832
US

V. Phone/Fax

Practice location:
  • Phone: 757-386-0805
  • Fax: 757-904-1039
Mailing address:
  • Phone: 757-386-0805
  • Fax: 757-904-1039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JAZMINE SPRUILL
Title or Position: MANAGING MEMBER
Credential:
Phone: 757-386-0805