MID ATLANTIC DEVELOPMENT SERVICES, LLC (NPI# 1760994552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760994552 |
| Entity Type | Organization |
| Organization Name | MID ATLANTIC DEVELOPMENT SERVICES, LLC |
| Practice Address |
625 Piney Forest Rd Danville VA 24540-2867 |
| Mailing Address |
2071 Bethany Trace Ln Winston Salem NC 27127-6843 |
| Practice Telephone | 3364488927 |
| Mailing Telephone | 3364488927 |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |
| Authorized Official Name | MR. MATISSE WITHERSPOON (CEO) |
| Authorized Official Telephone | 3364488927 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
625 PINEY FOREST RD |
| City | DANVILLE |
| State | VA |
| Zip Code | 24540-2867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285634386 | Waiyen Chin | Optometrist | 625 Piney Forest Rd, Suit 208, Danville, VA 24540-2867 | 2005-07-29 |
| 1184257735 | Kimi Transportation | Transportation Broker | 625 Piney Forest Rd, Danville, VA 24540-2867 | 2020-02-21 |
| 1457814121 | Cherri Boothe | Counselor | 625 Piney Forest Rd, Danville, VA 24540-2867 | 2019-04-10 |
| 1760957781 | Bess Alexander Hopkins | Speech-Language Pathologist | 625 Piney Forest Rd, Danville, VA 24540-2867 | 2018-10-05 |
| 1538646138 | Denease Renee Terry-reid | Counselor | 625 Piney Forest Rd, Danville, VA 24540-2867 | 2018-07-26 |
| 1144721812 | Margaret Mary Leonard | Occupational Therapy Assistant | 625 Piney Forest Rd, Danville, VA 24540-2867 | 2018-02-27 |
| 1063925550 | Amanda Walker Davis | Occupational Therapy Assistant | 625 Piney Forest Rd, Danville, VA 24540-2867 | 2017-11-07 |
| 1780135111 | Transitioning Home Care | Home Health | 625 Piney Forest Rd, Suite 302, Danville, VA 24540-2867 | 2016-10-20 |
| 1952851909 | Kayleigh Chapman | Speech-Language Pathologist | 625 Piney Forest Rd, #407, Danville, VA 24540-2867 | 2016-10-13 |
| 1205289824 | L&g Support and Resources Co. | Community/Behavioral Health | 625 Piney Forest Rd, Suite 301 A, Danville, VA 24540-2867 | 2016-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174981 | Sherry K Hardison | Pharmacist | Walmart, 515 Mount Cross Road, Danville, VA 24540 | 2020-11-03 |
| 1285256412 | Terri Patrice Alston | In Home Supportive Care | 220 Riverside Drive Suite C, Danville, VA 24540 | 2020-05-11 |
| 1619514312 | Glory Days Support Service, LLC | Counselor | 625 Piney Forest Rd, Suite 302c, Same, Danville, VA 24540 | 2019-12-02 |
| 1376189613 | Camilla Petty | Counselor | 265 Piney Forest Road Suite 302 C, Danville, VA 24540 | 2019-11-21 |
| 1891201513 | Jeffrey Langan | Occupational Therapy Assistant | 625 Piney Forest Rd., Danville, VA 24540 | 2017-12-18 |
| 1952822041 | H and G Transportation, LLC | Non-emergency Medical Transport (VAN) | 661 Arnett Blvd., Suite A, Danville, VA 24540 | 2017-06-29 |
| 1518316769 | Precious Nursing LLC | Home Health | 924 Arnett Bvld., Danville, VA 24540 | 2016-06-08 |
| 1487090841 | Hope Family Services LLC | Social Worker | 620 Piney Forest Road Suite, 304-a, Danville, VA 24540 | 2013-05-13 |
| 1336494764 | Jodi Leigh Davis | Speech-Language Pathologist | Center for Pediatric Therapies, 175 Deer Run Road, Danville, VA 24540 | 2012-07-23 |
| 1154618445 | Said Elfayar | Clinical Medical Laboratory | 140 West Parker Rd, Suite A, Danville, VA 24540 | 2011-07-07 |
| Find all providers in zip 24540 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891317657 | Changing Lives Therapeutic Service, LLC | Community/Behavioral Health | 413 Mount Cross Rd Ste 102, Danville, VA 24540-4089 | 2020-05-14 |
| 1295369056 | Rainbow Support Services, LLC | Community/Behavioral Health | 1309 Silver Creek Rd, Danville, VA 24540-6931 | 2020-03-02 |
| 1497388458 | Life Push, LLC | Community/Behavioral Health | 308 Craghead St, Danville, VA 24541-1470 | 2020-02-19 |
| 1376195453 | Pathfinders Resources Inc | Community/Behavioral Health | 661 Arnett Blvd Ste C, Danville, VA 24540-2507 | 2019-07-10 |
| 1194387704 | Amore International Mental Health | Community/Behavioral Health | 1217 Glenn St, Danville, VA 24540-3046 | 2019-07-03 |
| 1013484203 | Alafia Behavioral Support Services, LLC | Community/Behavioral Health | 625 Piney Forest Rd Ste 301e, Danville, VA 24540-2869 | 2018-10-26 |
| 1992290332 | The Kingdom Foundation | Community/Behavioral Health | 110 Exchange St Ste C, Danville, VA 24541-3500 | 2018-06-27 |
| 1700371796 | The Wendell Scott Foundation, Inc. | Community/Behavioral Health | 223 Riverview Dr Ste C, Danville, VA 24541-3435 | 2018-06-22 |
| 1558884270 | Focus Point Mental Health, LLC | Community/Behavioral Health | 116 Magnolia Drive, Danville, VA 24541 | 2017-07-25 |
| 1164943437 | Angela J Williams | Community/Behavioral Health | 116 Magnolia Dr, Danville, VA 24541-3626 | 2017-06-27 |
| Find all providers in DANVILLE | ||||
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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.