VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY (NPI# 1275690976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275690976 |
Entity Type | Organization |
Organization Name | VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY |
Other Organization Name | VTCC-RESIDENTAL TREATMENT |
Practice Address |
1308 Sherwood Ave Richmond VA 23220 |
Mailing Address |
Po Box 758997 Baltimore MD 21275-0001 |
Practice Telephone | 8046286643 |
Practice Fax Number | 8048282029 |
Enumeration Date | 2007-01-02 |
Last Update Date | 2018-06-11 |
Authorized Official Name | MELINDA S HANCOCK (CFO) |
Authorized Official Telephone | 8042125145 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | H1875 | VA | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 207063 | 05 |
Other Name | Type Code |
---|---|
VTCC-Residental Treatment | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164056941 | Virginia Commonwealth University Health System Authority | Clinic/Center | 2495 Pocahontas Trl, Quinton, VA 23141-1637 | 2020-03-02 |
1366000473 | Virginia Commonwealth University Health System Authority | Clinic/Center | 607 N 10th St, Richmond, VA 23298-5014 | 2019-06-04 |
1972026243 | Virginia Commonwealth University Health System Authority | Pharmacy | 11958 W Broad St Fl 2, Henrico, VA 23233-1007 | 2017-07-19 |
1548317308 | Virginia Commonwealth University Health System Authority | Clinic/Center | 1300 W Broad St, Richmond, VA 23284-9089 | 2007-01-04 |
1588298368 | Virginia Commonwealth University Health System Authority | Clinic/Center | 2495 Pocahontas Trl, Quinton, VA 23141-1637 | 2020-03-02 |
1548821630 | Virginia Commonwealth University Health System Authority | General Acute Care Hospital | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2019-06-28 |
1720506116 | Virginia Commonwealth University Health System Authority | Pharmacy | 1000 E Broad St, Richmond, VA 23219-1930 | 2017-09-06 |
1093238206 | Virginia Commonwealth University Health System Authority | Pharmacy | 1250 E Marshall St, Richmond, VA 23298-5023 | 2017-07-19 |
1780033050 | Virginia Commonwealth University Health System Authority | General Acute Care Hospital | 11958 W Broad St, Henrico, VA 23233-1007 | 2016-06-08 |
1578940953 | Virginia Commonwealth University Health System Authority | Pharmacy | 401 N 12th St, Richmond, VA 23298-5035 | 2015-05-05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY | 701 E Franklin St Ste 1112, Richmond, VA 23219-2501 |
Street Address |
1308 SHERWOOD AVE |
City | RICHMOND |
State | VA |
Zip Code | 23220 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356338909 | Wendy Ann Welch | Psychiatry & Neurology | 1308 Sherwood Ave, Richmond, VA 23220 | 2005-09-29 |
1316553241 | Anh-thuy Le | Psychologist | 1308 Sherwood Ave, Richmond, VA 23220-1210 | 2020-09-16 |
1720693740 | Rebecca Marie Smith | Nurse Practitioner | 1308 Sherwood Ave, Richmond, VA 23220-1210 | 2020-09-15 |
1366095994 | Jacob Charles Showalter Schmitz | Psychologist | 1308 Sherwood Ave, Richmond, VA 23220-1210 | 2019-07-23 |
1275099350 | Katelynn Marie Perzynski | Dietitian, Registered | 1308 Sherwood Ave, Richmond, VA 23220-1210 | 2019-02-14 |
1326516394 | Natalie Drawdy | Nurse Practitioner | 1308 Sherwood Ave, Richmond, VA 23220-1210 | 2018-11-08 |
1578030672 | Sandra Flemming | Social Worker | 1308 Sherwood Ave, Richmond, VA 23220-1210 | 2018-10-26 |
1639661390 | Meredith Kathryn Chapman Reiman | Student in an Organized Health Care Education/Training Program | 1308 Sherwood Ave, Richmond, VA 23220-1210 | 2018-05-30 |
1902267339 | Parna R. Prajapati | Psychiatry & Neurology | 1308 Sherwood Ave, Richmond, VA 23220 | 2016-03-12 |
1295172278 | Kristen Eleanor Norton | Social Worker | 1308 Sherwood Ave, Richmond, VA 23220 | 2013-05-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538637855 | Lindsay Kruger | Health Educator | 2 W Franklin Street, Richmond, VA 23220 | 2018-11-05 |
1578045993 | Lauren Jernegan | Physician Assistant | 204 S Mulberry St, Richmond, VA 23220 | 2018-09-01 |
1699266312 | Madhura Vikas Chitnavis | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Radiology, 980615, 1250 E Marshall St, Richmond, VA 23220 | 2018-05-29 |
1457842759 | Alfred Vann II | Social Worker | 119 W. Leigh St., Richmond, VA 23220 | 2018-05-22 |
1598269193 | Lilah Sol | Health Educator | Ymca, 2 W Franklin St., Richmond, VA 23220 | 2018-03-20 |
1568965531 | Anne Danforth | Health Educator | 2 West Franklin Street, Downtown Ymca, Richmond, VA 23220 | 2018-03-15 |
1154840791 | Constant Change Enterprises LLC | Counselor | 1805 Monument Avenue, Suite 208, Richmond, VA 23220 | 2017-09-14 |
1023534393 | Diane H Brown | Social Worker | 2106 Rosewood Avenue, Richmond, VA 23220 | 2017-08-18 |
1831624295 | Trent Roubleau | Student in an Organized Health Care Education/Training Program | 2114 Maplewood Ave, Richmond, VA 23220 | 2017-04-24 |
1679013312 | Blair Fine | Social Worker | 2117 West Main Street, Richmond, VA 23220 | 2017-02-28 |
Find all providers in zip 23220 |
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.