ABUNDANT LIFE CENTER II, LLC (NPI# 1124191614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124191614 |
| Entity Type | Organization |
| Organization Name | ABUNDANT LIFE CENTER II, LLC |
| Practice Address |
9831 Kevken Dr Richmond VA 23237-4058 |
| Mailing Address |
1313 Pleasant Creek Ct Colonial Heights VA 23834-6841 |
| Practice Telephone | 8047483368 |
| Practice Fax Number | 8047483662 |
| Mailing Telephone | 8046517972 |
| Mailing Fax Number | 8045300195 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RODNEY MARK WILLIAMS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8046517972 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 895-14-00 | VA | Residential Treatment Facilities |
| Street Address |
9831 KEVKEN DR |
| City | RICHMOND |
| State | VA |
| Zip Code | 23237-4058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437487345 | Alc Youth & Family Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 9831 Kevken Dr, Richmond, VA 23237-4058 | 2009-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760037386 | Charles Stuckey | Behavior Technician | 7353 Whitepine Rd, Richmond, VA 23237 | 2019-08-09 |
| 1659889723 | Karon Harris | Counselor | 9609 Jefferson Davis Highway, Richmond, VA 23237 | 2018-01-11 |
| 1043469083 | Concentra Health Services, Inc. | Clinic/Center | 9211 Burge Ave., Richmond, VA 23237 | 2008-09-15 |
| 1376726430 | American Current Care, Pa. | Clinic/Center | 9211 Burge Avenue, Richmond, VA 23237 | 2007-12-12 |
| 1184744732 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 9211 Burge Ave, Richmond, VA 23237 | 2007-03-29 |
| 1699860031 | Kamala Vaidy | Psychiatry & Neurology | 4924 Chociese Trail, Richmond, VA 23237 | 2006-10-03 |
| 1356542385 | Diana Gay White | Family Medicine | 2619 Sherbourne Rd, Richmond, VA 23237-1118 | 2007-05-29 |
| 1962805499 | J&m Adult Care Services, LLC | Respite Care | 4017 Mchoward Rd, North Chesterfield, VA 23237-1406 | 2014-09-29 |
| 1669770285 | Kathleen Alice Poll | Pharmacist | 4205 Beulah Rd, Richmond, VA 23237-1449 | 2011-03-06 |
| 1922117225 | Rite Aid of Virginia Inc | Durable Medical Equipment & Medical Supplies | 4205 Beulah Road, Chestertowne Square S Hopping Center, Richmond, VA 23237-1449 | 2006-08-30 |
| Find all providers in zip 23237 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030054 | Life's Purpose | Residential Treatment Facility, Emotionally Disturbed Children | 1211 Lark Ln, Richmond, TX 77469-7803 | 2020-07-07 |
| 1871099721 | Imagination LLC | Residential Treatment Facility, Emotionally Disturbed Children | 318 N Wilkinson Rd, Richmond, VA 23227-1631 | 2018-03-31 |
| 1336454552 | Wernle Youth & Family Treatment Center | Residential Treatment Facility, Emotionally Disturbed Children | 2000 Wernle Rd, Richmond, IN 47374-7015 | 2010-08-12 |
| 1053641167 | Postive Outlook | Residential Treatment Facility, Emotionally Disturbed Children | 3601 Springtime Ct, Richmond, VA 23223-1692 | 2010-01-12 |
| 1568698165 | Hopes Haven Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3515 Skipping Rock Way, Richmond, VA 23234-2971 | 2009-06-09 |
| 1356593693 | Jackson-feild Homes | Residential Treatment Facility, Emotionally Disturbed Children | 205 North Blvd, Richmond, VA 23220-4006 | 2008-10-17 |
| 1952567182 | Secure Haven Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 1706 Hungary Rd, Richmond, VA 23228-2335 | 2008-08-07 |
| 1134389943 | Gabrielle's House | Residential Treatment Facility, Emotionally Disturbed Children | 725 S Providence Rd, Richmond, VA 23236-3337 | 2008-06-15 |
| 1669649364 | Strong Girls, Smart Women LLC | Residential Treatment Facility, Emotionally Disturbed Children | 5210 Lingle Ln, Richmond, VA 23234-6618 | 2008-05-12 |
| 1225200827 | Back 2 Basics, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3808 Candlegrove Ct, Richmond, VA 23223-1440 | 2008-03-24 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.