HAMLET HOUSE YOUTH SERVICES, III LLC (NPI# 1366790107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366790107 |
| Entity Type | Organization |
| Organization Name | HAMLET HOUSE YOUTH SERVICES, III LLC |
| Practice Address |
206 Carlstone Dr Highland Springs VA 23075-2503 |
| Mailing Address |
517 Clauson Rd Richmond VA 23227-1203 |
| Practice Telephone | 8043269046 |
| Practice Fax Number | 8043269046 |
| Mailing Telephone | 8043269046 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |
| Authorized Official Name | MRS. GWENDOLYN SCURLOCK INGRAM (CHIEF ADMINISTRATIVE OFFICE) |
| Authorized Official Telephone | 8043269046 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 1347-14-001 | VA | Residential Treatment Facilities |
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1347-14-001 | VA | Residential Treatment Facilities |
| Street Address |
206 CARLSTONE DR |
| City | HIGHLAND SPRINGS |
| State | VA |
| Zip Code | 23075-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154964484 | Gwendolyn Macon Keeton | Technician | 247 Carlstone Ct, Highland Springs, VA 23075 | 2019-10-18 |
| 1477917078 | Atouchofcare | Case Management | 304 Confederate Run Ct, Henrico, VA 23075-1100 | 2016-04-09 |
| 1831615228 | Rickey Williams | Driver | 113 Beauregard Ave, Henrico, VA 23075-1113 | 2017-08-17 |
| 1013565365 | Andrew Gregory Maples II | Non-emergency Medical Transport (VAN) | 118 Lee Ave, Highland Springs, VA 23075-1118 | 2019-08-29 |
| 1699076034 | Arch Support Residential Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 118 Longstreet Ave, Highland Springs, VA 23075-1141 | 2010-11-16 |
| 1790852770 | Shaman Meshal Al Anezi | Dentist | 1001 W Nine Mile Rd, Suit A, Highland Springs, VA 23075-1146 | 2006-11-29 |
| 1659822310 | R.t. Carter II Dds PC | Dentist | 1001 W Nine Mile Rd, Highland Springs, VA 23075-1146 | 2016-10-18 |
| 1023175726 | Roy Thomas Carter II | Dentist | 1001 W Nine Mile Rd, Highland Springs, VA 23075-1146 | 2007-01-02 |
| 1841356268 | Philip James Baum | Dentist | 1001 W Nine Mile Rd, Highland Springs, VA 23075-1146 | 2006-12-29 |
| 1063905008 | Temax Logistics LLC | Driver | 417 S Holly Ave, Highland Springs, VA 23075-1213 | 2018-06-13 |
| Find all providers in zip 23075 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699076034 | Arch Support Residential Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 118 Longstreet Ave, Highland Springs, VA 23075-1141 | 2010-11-16 |
| 1871753962 | Voyage Staffing | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 561 N Airport Dr, Highland Springs, VA 23075-2100 | 2008-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952905 | Amazing Hands Health Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 25873 Kirkwood Sq, Chantilly, VA 20152-2086 | 2020-11-02 |
| 1568069987 | New Development Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4610 Milfax Rd, North Chesterfield, VA 23224-5604 | 2020-10-08 |
| 1114524766 | Latoya Steward | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 805 Admiral Gravely Blvd, Richmond, VA 23231 | 2020-10-07 |
| 1780281808 | Romco Enterprises, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3409 Scott St, Portsmouth, VA 23707-4001 | 2020-10-01 |
| 1710596051 | Dare To Dream Family Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2905 Steed Ct, Chesapeake, VA 23323-2843 | 2020-07-22 |
| 1780208660 | Excel Family Services of Virginia, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1100 Hubbell Dr, Virginia Beach, VA 23454-5633 | 2020-06-05 |
| 1366064313 | Monica Lotoria Ballou | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1345 N Main St, Danville, VA 24540-3721 | 2020-05-13 |
| 1790306934 | Serenity Residential Servicess, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6225 Wilmington Dr, Burke, VA 22015-3828 | 2020-04-28 |
| 1407483316 | Lighthouse Residential Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5219 Summerleaf Dr, North Chesterfield, VA 23234-2817 | 2020-03-23 |
| 1457983538 | Rokel Health Care Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7905 Dassett Ct Apt 304, Annandale, VA 22003-4878 | 2020-02-06 |
| Find all providers with the same taxonomy | ||||
| City | HIGHLAND SPRINGS |
| Zip Code | 23075 |
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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.