NU-START YOUTH INTERVENTION SERVICES LLC


Address: 5039 Backlick Rd, Suite A, Annandale, VA 22003-6046
Phone: 7037501132

NU-START YOUTH INTERVENTION SERVICES LLC (NPI# 1851673230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851673230
Entity Type Organization
Organization Name NU-START YOUTH INTERVENTION SERVICES LLC
Practice Address 5039 Backlick Rd
Suite A
Annandale
VA 22003-6046
Practice Telephone 7037501132
Practice Fax Number 7037501142
Mailing Telephone 7037501132
Mailing Fax Number 7037501142
Enumeration Date 2011-09-13
Last Update Date 2011-12-27
Authorized Official Name MISS DONNETTE SHAW-CUNNINGHAM (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2024214130
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children VA Residential Treatment Facilities

Office Location

Street Address 5039 BACKLICK RD
SUITE A
City ANNANDALE
State VA
Zip Code 22003-6046

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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336619667 The Discovery School of Virginia, Inc. Residential Treatment Facility, Emotionally Disturbed Children 2697 Copper Mine Road, Dillwyn, VA 23936-2393 2018-11-29
1184102188 Limitless Growth Residential Treatment Facility, Emotionally Disturbed Children 115 Reese Dr, Danville, VA 24540-1185 2018-08-01
1871099721 Imagination LLC Residential Treatment Facility, Emotionally Disturbed Children 318 N Wilkinson Rd, Richmond, VA 23227-1631 2018-03-31
1245698935 Summer House Residential Treatment Facility, Emotionally Disturbed Children 16056 Elderly Ln, Timberville, VA 22853-2922 2016-02-09
1194105346 Tamara Doud Residential Treatment Facility, Emotionally Disturbed Children 165 Motoka Dr Apt 1, Newport News, VA 23602-4053 2015-06-03
1679953871 Just Understanding My Priorities Residential Treatment Facility, Emotionally Disturbed Children 7109 Barry Rd, Alexandria, VA 22315-3408 2015-06-02
1538507983 Alc Youth & Family Services, LLC Residential Treatment Facility, Emotionally Disturbed Children 14200 Kentwood Forest Dr, Chester, VA 23831-8029 2013-06-07
1366790107 Hamlet House Youth Services, IIi LLC Residential Treatment Facility, Emotionally Disturbed Children 206 Carlstone Dr, Highland Springs, VA 23075-2503 2012-08-28
1417214149 Turning Point Home for Boys, Inc. Residential Treatment Facility, Emotionally Disturbed Children 4701 Stonehurst Dr, Woodbridge, VA 22192-5727 2012-04-19
1699046094 Intercept Youth Services Residential Treatment Facility, Emotionally Disturbed Children 410 Adkins Rd, North Chesterfield, VA 23236-2833 2012-01-18
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Competitor

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City ANNANDALE
Zip Code 22003

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Dataset Information

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.

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