DOMINION YOUTH SERVICES (NPI# 1548353246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548353246 |
| Entity Type | Organization |
| Organization Name | DOMINION YOUTH SERVICES |
| Other Organization Name | DOMINION YOUTH SERVICES RESIDENTIAL LLC |
| Practice Address |
8401 Mayland Drive Suite C Richmond VA 23294 |
| Mailing Address |
P.o. Box 70296 Richmond VA 23255 |
| Practice Telephone | 8042859838 |
| Practice Fax Number | 8042859839 |
| Mailing Telephone | 8042859838 |
| Mailing Fax Number | 8042859839 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GL PULLIAM JR. (DIRECTOR OF RESIDENTIAL) |
| Authorized Official Telephone | 8042859838 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 406-14-002 | VA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Dominion Youth Services Residential LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952562811 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 4802 Northridge Lane, Roanoke, VA 24019 | 2008-06-23 |
| 1811180458 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 7002 Dallas Rd, Roanoke, VA 24019-1510 | 2007-08-27 |
| 1245369750 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 2407 Dumbarton Rd, Richmond, VA 23228-5909 | 2007-03-02 |
| 1649317918 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 2504 Prestwick Circle, Richmond, VA 23294 | 2007-01-30 |
| 1407993777 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 2419 Fon Du Lac Rd, Richmond, VA 23229 | 2007-01-30 |
| Street Address |
8401 MAYLAND DRIVE SUITE C |
| City | RICHMOND |
| State | VA |
| Zip Code | 23294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609417724 | Imani Healthcare Services Inc. | Home Health | 8401 Mayland Drive, Suite D1, Richmond, VA 23294-4648 | 2019-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811454994 | Joshua Fritz | Behavior Technician | 2601 Willard Rd, Ste 105, Richmond, VA 23294 | 2019-02-26 |
| 1578020608 | Nicole Hoppe | Behavior Technician | 2601 Willard Road, Ste 105, Richmond, VA 23294 | 2019-02-25 |
| 1699278713 | Osman Med Transportation LLC | Non-emergency Medical Transport (VAN) | 8703 Queensmere Plz Apt 2, Henrico, VA 23294 | 2018-03-15 |
| 1346742830 | F.c. of Virginia, Inc. | Hospice Care, Community Based | 8401 Mayland Drive Suite L, Richmond, VA 23294 | 2018-03-01 |
| 1497256911 | Susan Marie Robinson | Speech-Language Pathologist | 9200 Mapleview Avenue, Richmond, VA 23294 | 2018-02-21 |
| 1407375512 | Lisa Therese Hall | Speech-Language Pathologist | Skipwith Elementary School, 2401 Skipwith Rd., Henrico, VA 23294 | 2017-09-11 |
| 1295257863 | All Around Taxi Service.inc | Taxi | 8601 Pellington Pl #7, Richmond, VA 23294 | 2017-07-14 |
| 1992225809 | Pony-care Transportation, Inc | Non-emergency Medical Transport (VAN) | 3212 Skipwith Road, Suite L3, Henrico, VA 23294 | 2017-06-21 |
| 1801325295 | Christina Chaney | Behavior Technician | 9351 West Broad St, Henrico, VA 23294 | 2017-06-08 |
| 1033648423 | Sarah Jennings | Behavior Technician | 9351 West Broad St., Henrico, VA 23294 | 2017-06-08 |
| Find all providers in zip 23294 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487901 | River City Residential Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 2106 Hungary Rd, Richmond, VA 23228-2208 | 2020-04-27 |
| 1427419035 | Powerhouse Unlimited | Community Based Residential Treatment Facility, Mental Illness | 418 N 25th St, Apt 260, Richmond, VA 23223-7564 | 2016-03-09 |
| 1649524141 | A Plus Health Solutions LLC | Community Based Residential Treatment Facility, Mental Illness | 1803 N 28th St, Richmond, VA 23223-4505 | 2012-11-05 |
| 1578896171 | Rest Assured LLC | Community Based Residential Treatment Facility, Mental Illness | 3830 Monza Dr, Richmond, VA 23234-4214 | 2009-09-14 |
| 1508000753 | We Care Youth Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 2431 Hicks Rd, Richmond, VA 23235-5420 | 2009-04-30 |
| 1265677934 | Virginia Home for Boys and Girls | Community Based Residential Treatment Facility, Mental Illness | 2250 Pump Rd, Richmond, VA 23233-3508 | 2008-12-10 |
| 1386895258 | Generation X-cel Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 5024 Bryanbell Ln, Richmond, VA 23234-8004 | 2008-10-09 |
| 1487800744 | Dolls House | Community Based Residential Treatment Facility, Mental Illness | 108 Barker Ave, Richmond, VA 23223-3504 | 2008-08-18 |
| 1124286042 | Tomorrow's Promise | Community Based Residential Treatment Facility, Mental Illness | 4830 Steven Hill Dr, Richmond, VA 23234-8017 | 2008-05-28 |
| 1124295530 | Guiding Young Minds LLC | Community Based Residential Treatment Facility, Mental Illness | 526 Dabbs House Rd, Richmond, VA 23223-2604 | 2008-05-14 |
| 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.