DISTRICT 19 COMMUNITY SERVICE BOARD (NPI# 1124347885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124347885 |
| Entity Type | Organization |
| Organization Name | DISTRICT 19 COMMUNITY SERVICE BOARD |
| Practice Address |
1308 Lemonwood Dr Hopewell VA 23860-7619 |
| Practice Telephone | 8045411829 |
| Mailing Telephone | 8045411829 |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2010-05-20 |
| Authorized Official Name | MRS. ELEANOR WILKINS YATES (LPN) |
| Authorized Official Telephone | 8045411829 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 0002044952 | VA | Agencies |
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 0002044952 | VA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013283738 | District 19 Community Service Board | Clinic/Center | 20 W Bank St, Suite 7, Petersburg, VA 23803-3279 | 2012-03-27 |
| Street Address |
1308 LEMONWOOD DR |
| City | HOPEWELL |
| State | VA |
| Zip Code | 23860-7619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851862429 | Tameara Sloan | Specialist | 912 Sycamore Street, Hopewell, VA 23860 | 2018-12-07 |
| 1184100018 | Kirstin Marie Mckay | Registered Nurse | 411 W. Randolph Road, Hopewell, VA 23860 | 2018-07-13 |
| 1326556705 | Lenise Benzina Mazyck | Social Worker | 600 Winston Churchill Drive, 1c, Hopewell, VA 23860 | 2018-01-19 |
| 1003323163 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 2704 Oaklawn Blvd, Hopewell, VA 23860 | 2018-01-10 |
| 1568911261 | Sierra James | Counselor | 2004 Saint.thomas Road, Hopewell, VA 23860 | 2016-09-23 |
| 1588014484 | Trinity Plus 1 Transportation LLC | Non-emergency Medical Transport (VAN) | 108 N. 7th Avenue, Hopewell, VA 23860 | 2016-06-21 |
| 1275988909 | Live, Learn & Love, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4003 Jamestown Drive, Hopewell, VA 23860 | 2016-05-02 |
| 1972982031 | Mohammad Bhuiyan | Physical Therapist | 201 Eppes St, Hopewell, Heritage Healthcare,riverview On The Appomattox, Hopewell, VA 23860 | 2015-05-22 |
| 1982090494 | Pioneer Home Health, Inc. | Home Health | 740 S Bacons Chase, Hopewell, VA 23860 | 2015-04-10 |
| 1700220282 | Briggs Dwd Home Health Care LLC | Clinic/Center | 624 South 6 Avenue, Hopewell, VA 23860 | 2013-04-26 |
| Find all providers in zip 23860 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322598 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 4700 Monterey Dr, Annandale, VA 22003-5927 | 2020-06-30 |
| 1003372780 | Monroe Operations, LLC | Psychiatric Residential Treatment Facility | 1620 Davidson Rd, Mc Lean, VA 22101-4304 | 2019-02-18 |
| 1093271777 | Monroe Operations, LLC | Psychiatric Residential Treatment Facility | 1622 Davidson Rd, Mc Lean, VA 22101-4304 | 2019-02-18 |
| 1841770849 | Monroe Operations, LLC | Psychiatric Residential Treatment Facility | 1624 Davidson Rd, Mc Lean, VA 22101-4304 | 2018-08-19 |
| 1275025694 | Strategic Healthcare of Virginia, Incorporated | Psychiatric Residential Treatment Facility | 468 Dryden Loop, Dryden, VA 24243 | 2018-06-01 |
| 1497283527 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 10416 Burke Lake Rd, Fairfax Station, VA 22039-1808 | 2017-06-02 |
| 1932635976 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 5949 Oakdale Rd, Mc Lean, VA 22101-3331 | 2017-05-11 |
| 1750823399 | Safe Haven Transitional Youth Services | Psychiatric Residential Treatment Facility | 3021 Macallan Pkwy, Henrico, VA 23231-7269 | 2016-11-14 |
| 1619324753 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 7809 Schelhorn Rd, Alexandria, VA 22306-2825 | 2016-05-18 |
| 1356722722 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 5343 Summit Dr, Fairfax, VA 22030-6523 | 2015-06-11 |
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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.