Provider Demographics
NPI:1568852747
Name:WELCOME HOME COMMUNITY SERVICES, LLC
Entity Type:Organization
Organization Name:WELCOME HOME COMMUNITY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RUTHE
Authorized Official - Middle Name:PIERRE
Authorized Official - Last Name:LAURORE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:804-255-7667
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:PRINCE GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:23875-0247
Mailing Address - Country:US
Mailing Address - Phone:804-458-5500
Mailing Address - Fax:804-458-5501
Practice Address - Street 1:4701 OWENS WAY STE 100-200
Practice Address - Street 2:
Practice Address - City:PRINCE GEORGE
Practice Address - State:VA
Practice Address - Zip Code:23875-2366
Practice Address - Country:US
Practice Address - Phone:804-458-5500
Practice Address - Fax:804-458-5501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-27
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 103K00000X, 251C00000X, 251S00000X
VA347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No347C00000XTransportation ServicesPrivate VehicleGroup - Multi-Specialty