DISTRICT 19 COMMUNITY SERVICES BOARD (NPI# 1679510226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679510226 |
| Entity Type | Organization |
| Organization Name | DISTRICT 19 COMMUNITY SERVICES BOARD |
| Practice Address |
5012 Selwood Rd Richmond VA 23234-4246 |
| Practice Telephone | 8048628002 |
| Practice Fax Number | 8048628060 |
| Mailing Telephone | 8042756161 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2008-09-15 |
| Authorized Official Name | MS. TERESA WULF-HELLER (CLINICAL SERVICES DIRECTOR) |
| Authorized Official Telephone | 8048628002 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | 0904002353 | VA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | SENTARA | 086373 | 01 |
| VA | ANTHEM | 270506 | 01 |
| VA | 4945280 | 05 | |
| VA | INACTIVE | R62892 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669791984 | District 19 Community Services Board | Nursing Care | 502 Sadler Dr, Emporia, VA 23847 | 2010-05-26 |
| 1225094451 | District 19 Community Services Board | Early Intervention Provider Agency | 20 W Bank St, Suite 2, Petersburg, VA 23803-3279 | 2006-04-25 |
| 1669970646 | District 19 Community Services Board | Early Intervention Provider Agency | 20 W Bank St Ste 5, Petersburg, VA 23803-3279 | 2018-01-25 |
| 1790113280 | District 19 Community Services Board | Community/Behavioral Health | 232 Coppahaunk Ave, Waverly, VA 23890-5041 | 2013-10-22 |
| 1194760462 | District 19 Community Services Board | Social Worker | 215 W Atlantic St, Emporia, VA 23847-1223 | 2006-06-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DISTRICT 19 COMMUNITY SERVICES BOARD | 20 West Bank Street Ste 2, Petersburg, VA 23803-3279 |
| Street Address |
5012 SELWOOD RD |
| City | RICHMOND |
| State | VA |
| Zip Code | 23234-4246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205151073 | Teresa Wulf-heller | Counselor | 5012 Selwood Rd, Richmond, VA 23234-4246 | 2010-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750941415 | Sabrina Branch Griffin | Registered Nurse | 3513 Skipping Rock Way, Richmond, VA 23234 | 2019-06-15 |
| 1306368782 | Nile LLC. | Taxi | 5580 Heatherhill Dr., North Chesterfield, VA 23234 | 2017-07-07 |
| 1467808923 | Donnell Fonville | Driver | 4137 Woodfield Rd, N Chesterfield, VA 23234 | 2016-05-13 |
| 1710225818 | Vernon J Harris East End Community Health Center | Clinic/Center | 2740 Bensley Commons Boulevard, Chesterfield, VA 23234 | 2013-01-24 |
| 1063799260 | Professional Mental Health Educational Consultants, LLC | Psychologist | 4222 Bonnie Bank Road, Suite 300, Richmond, VA 23234 | 2011-11-16 |
| 1184930463 | Abundant Life Center IIh & Mhss | Community/Behavioral Health | 4222 Bonniebank Rd #304, Richmond, VA 23234 | 2010-08-25 |
| 1164675385 | Kingdom Dominion LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7024 O Malley Dr, Same, Richmond, VA 23234 | 2008-10-31 |
| 1417128463 | Tsg Services, Inc. | Day Training, Developmentally Disabled Services | 6401 Irongate Drive, Richmond, VA 23234 | 2008-03-18 |
| 1942479381 | Coretha Marie Claiborn | Counselor | 700 S. Sycamore Street, Suite 6, Petersburg, VA 23234 | 2008-02-29 |
| 1366572372 | Kids In Focus II, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 6507 Irongate Road, Richmond, VA 23234 | 2007-03-07 |
| Find all providers in zip 23234 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174472 | Astyra Corporation | Public Health or Welfare | 411 E Franklin St Ste 105, Richmond, VA 23219-2243 | 2020-04-30 |
| 1831327329 | Ajs Ministries Int'l Inc | Public Health or Welfare | 3121 Stone Dale Ct, Richmond, VA 23223-2651 | 2009-06-23 |
| 1346477650 | Madison County Health Department | Public Health or Welfare | 1428 Dr. Robert R. Martin Bypass, Richmond, KY 40475 | 2009-06-12 |
| 1184879090 | Madison County Health Department | Public Health or Welfare | 301 Bellevue Dr., Richmond, KY 40475-1261 | 2008-11-19 |
| 1326221714 | Madison County Health Department | Public Health or Welfare | 644 Kirksville Road, Richmond, KY 40475 | 2007-12-10 |
| 1396928867 | Madison County Health Department | Public Health or Welfare | 300 Bond St, Richmond, KY 40475-2588 | 2007-12-07 |
| 1821271396 | Madison County Health Department | Public Health or Welfare | 101 Summit St, Richmond, KY 40475-2129 | 2007-12-07 |
| 1306029871 | Madison County Health Department | Public Health or Welfare | 1143 Berea Rd., Richmond, KY 40475-7900 | 2007-12-07 |
| 1104009679 | Madison County Health Department | Public Health or Welfare | 2166 Lexington Rd, Richmond, KY 40475-7900 | 2007-12-07 |
| 1477736940 | Madison County Health Department | Public Health or Welfare | 450 Tates Creek Rd, Richmond, KY 40475-9426 | 2007-12-07 |
| 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.