Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessie Mae's Supported Living, LLC

Organization Assisted Living Facility (Behavioral Disturbances) · NPI 1508663923

Jessie Mae's Supported Living, LLC is an Assisted Living Facility (Behavioral Disturbances) in Suffolk, Virginia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

614 Roosevelt Dr
Suffolk, VA 23434-3348
Phone: (757) 967-1062
Fax: (757) 801-5375
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Behavioral Disturbances) (primary) Taxonomy 3104A0630X

Record details

NPI number1508663923
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynnette Cross-Mack — Owner · (757) 967-1062
NPI enumeratedFebruary 25, 2025
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025
Mailing address23069 Retreat Ln, Carrollton, VA 23314-4192