Healthcare Provider Details

I. General information

NPI: 1376647552
Provider Name (Legal Business Name): AJ & T INDEPENDENT GROUP HOMES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5132 ANDOVER RD
VIRGINIA BEACH VA
23464-6022
US

IV. Provider business mailing address

3420 PLUM CRESCENT
VIRGINIA BEACH VA
23453-2815
US

V. Phone/Fax

Practice location:
  • Phone: 757-226-9037
  • Fax: 757-301-2508
Mailing address:
  • Phone: 757-404-9761
  • Fax: 757-301-2508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number74501001
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateVA

VIII. Authorized Official

Name: MRS. ALICIA OROBIA CRUZ
Title or Position: RESIDENTIAL DIRECTOR
Credential: RN
Phone: 757-226-9037