MEDICARE: SUPPORTIVE FAMILY HEALTHCARE 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1073290458
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUPPORTIVE FAMILY HEALTHCARE SERVICES, LLC.

Provider Business Mailing Address
First Line	:	6714 PATTERSON AVE
Second Line	:	SUITE 103
City	:	RICHMOND
State	:	VA
Zip	:	23226-3432
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	802 CLARKE RD
Second Line	:
City	:	MARTINSVILLE
State	:	VA
Zip	:	24112-5408
Country	:	US
Telephone Number	:	276-336-8110
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	KEMONI THOMAS
Credential	:	LPC
Telephone Number	:	276-806-4865

Provider Enumeration Date	:	06/28/2023
Last Update Date	:	06/15/2026

Similar Medicare Providers

1487317202 — SAMANTHA TURNER NUTRITION, LLC
Practice Location Address:

1901 PATRICK HENRY AVE STE 124
MARTINSVILLE, VA
24112-3954

Practice Phone: 276-358-2448
Practice Fax:

1659966281 — NIJERIA JENEE JONES LPC
Practice Location Address:

20 E CHURCH ST
MARTINSVILLE, VA
24112-6208

Practice Phone: 276-262-0160
Practice Fax: 276-409-7636

1306770615 — MACKENZIE LANE HAIRSTON
Practice Location Address:

128 FAYETTE ST
MARTINSVILLE, VA
24112-2620

Practice Phone: 276-352-4465
Practice Fax: 276-293-1212

1467387308 — MR. ANTHONY D WRIGHT JR.
Practice Location Address:

320 HOSPITAL DR
MARTINSVILLE, VA
24112-1900

Practice Phone: 434-770-5563
Practice Fax:

1265435333 — BLUE RIDGE NURSING CENTER OF MARTINSVILLE AND HENRY COUNTY INC.
Practice Location Address:

300 BLUE RIDGE ST
MARTINSVILLE, VA
24112-7261

Practice Phone: 276-638-8701
Practice Fax: 276-638-2017

1174526008 — DR. GRAY W. FRIEDRICHS O.D.
Practice Location Address:

1975 VIRGINIA AVE
MARTINSVILLE, VA
24112-8388

Practice Phone: 276-647-3937
Practice Fax: 276-647-3990

Directions to “SUPPORTIVE FAMILY HEALTHCARE SERVICES, LLC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.