GRAND ANNE RESIDENCES, LLC (NPI# 1568702256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568702256 |
| Entity Type | Organization |
| Organization Name | GRAND ANNE RESIDENCES, LLC |
| Practice Address |
2104 Walnut Ave Buena Vista VA 24416-2738 |
| Practice Telephone | 5402612222 |
| Practice Fax Number | 5402612222 |
| Mailing Telephone | 5402612222 |
| Mailing Fax Number | 5402612222 |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2013-02-18 |
| Authorized Official Name | MS. DEBORAH Z SHAFER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5402612222 |
| Authorized Official Credential | QRMP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1952 | VA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | DBHDS | 1952 | 01 |
| Street Address |
2104 WALNUT AVE |
| City | BUENA VISTA |
| State | VA |
| Zip Code | 24416-2738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825855 | Marian Gowdy | Specialist/Technologist | 1 University Hill Drive, Buena Vista, VA 24416 | 2017-04-17 |
| 1578668448 | Margaret A Campbell Dds PC | Dentist | 2131 Maenolia Ave, Buena Vista, VA 24416 | 2006-09-14 |
| 1467931311 | Laura Roberts Mays | Nurse Practitioner | 2252 Magnolia Ave, Buena Vista, VA 24416 | 2018-08-11 |
| 1982104253 | Brian Morris | Pharmacist | 2263 Magnolia Ave, Buena Vista, VA 24416 | 2018-02-13 |
| 1093086381 | Jerry Mason Vanbrocklin | Pharmacist | 2263 Magnolia Ave, Buena Vista, VA 24416 | 2012-01-19 |
| 1467780999 | Preferred Call and Response, LLC | Emergency Response System Companies | 399 E. 29th Street, Buena Vista, VA 24416-0152 | 2009-11-20 |
| 1912203019 | Buena Vista Rescue Squad Inc | Ambulance | 2307 Sycamore Ave, Buena Vista, VA 24416-0668 | 2011-02-07 |
| 1467839431 | Pro Careers Inc./bvpc | Home Health | 393 E 29th St Ste 1, Buena Vista, VA 24416-1291 | 2015-04-29 |
| 1619354057 | Pro Careers Inc./bvrc | In Home Supportive Care | 393 E 29th St Ste 1, Buena Vista, VA 24416-1291 | 2015-05-06 |
| 1164809505 | Pro Careers Inc./bvcd | Case Management | 393 E 29th St Ste 1, Buena Vista, VA 24416-1291 | 2015-05-06 |
| Find all providers in zip 24416 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729213 | Saint Claire Healthcare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5601 Seminary Rd Apt 915n, Falls Church, VA 22041-2997 | 2020-10-28 |
| 1780283275 | Great Day Residential | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6606 Gills Gate Pl, Chesterfield, VA 23832-6004 | 2020-10-26 |
| 1306451448 | Nikita S Banks | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 505 Cumberland Street Ave, Ste 2, Portsmouth, VA 23704-2370 | 2020-09-15 |
| 1396359576 | Best Hope Community Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9662 Hawkshead Dr, Lorton, VA 22079-2786 | 2020-09-03 |
| 1609489038 | Viana Healthcare Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8205 Mockingbird Dr, Annandale, VA 22003-3713 | 2020-08-25 |
| 1770196339 | Jilly Healthcare Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4145 Lenox Dr, Fairfax, VA 22032-1112 | 2020-08-24 |
| 1225640279 | Guardian Angels Homecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1116 Pin Oak Drive, Suffolk, VA 23434-2343 | 2020-08-20 |
| 1659993079 | Collaborative Community LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6000 Filbert Ct, Springfield, VA 22152-1609 | 2020-05-07 |
| 1356962252 | Intellectual Services Group, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4813 Integrity Ct, Fredericksburg, VA 22408-1891 | 2020-05-01 |
| 1699394346 | Peace of Mind Residential Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Pinehurst Ln, Stafford, VA 22554-7288 | 2020-04-13 |
| Find all providers with the same taxonomy | ||||
| City | BUENA VISTA |
| Zip Code | 24416 |
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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.