2300 ANGUS LLC (NPI# 1992292346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992292346 |
| Entity Type | Organization |
| Organization Name | 2300 ANGUS LLC |
| Practice Address |
2300 Angus Rd Charlottesville VA 22901-2630 |
| Mailing Address |
517 Park St Charlottesville VA 22902-4739 |
| Practice Telephone | 4349701904 |
| Practice Fax Number | 4349702044 |
| Mailing Telephone | 4349701904 |
| Mailing Fax Number | 4349702044 |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |
| Authorized Official Name | DEBBIE MURRAY (FINANACE MANAGER) |
| Authorized Official Telephone | 4349701904 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | CRF-317 | VA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 600894797 | 05 |
| Street Address |
2300 ANGUS RD |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22901-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641501 | John Mccord | Speech-Language Pathologist | English Meadows, 1220 Crozet Ave, Crozet, VA 22901 | 2020-05-20 |
| 1922566017 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 27 Discovery Dr, Bluffton, SC 22901 | 2019-03-07 |
| 1477011872 | Courtney Dyan Bonilla | Counselor | 633 Berkmar Circle, Charlottesville, VA 22901 | 2019-03-05 |
| 1558855346 | Dana Scott | Counselor | 696 Berkmar Cir Ste 3b, Charlottesville, VA 22901 | 2018-06-15 |
| 1043725336 | M Clinic, LLC | Internal Medicine | 406 Albemarle Square, Charlottesville, VA 22901 | 2017-12-08 |
| 1033620380 | Cheryl K Cottrell | Counselor | 875 East Rio Court, Charlottesville, VA 22901 | 2017-10-13 |
| 1114389640 | Heather Lorin Broach | Physical Therapist | 2331 Seminole Ln Ste 103, Charlottesville, VA 22901 | 2016-03-23 |
| 1649669904 | Costco Wholesale Corporation | Pharmacy | 3171 District Ave, Charlottesville, VA 22901 | 2015-01-09 |
| 1083988778 | Melissa Stanley | Nurse Practitioner | 1356 River Rd, Charlottesville, VA 22901 | 2012-02-28 |
| 1982977633 | Jea Catherine Brickwedde | Specialist | 716 Rio Rd W, Fa, Charlottesville, VA 22901 | 2012-02-10 |
| Find all providers in zip 22901 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417131954 | Gloeckner Weber, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 517 Park St, Charlottesville, VA 22902-4739 | 2007-12-19 |
| 1598967762 | Lakeview Virginia Neurocare | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1101 E High St, Charlottesville, VA 22902-4857 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952905 | Amazing Hands Health Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 25873 Kirkwood Sq, Chantilly, VA 20152-2086 | 2020-11-02 |
| 1568069987 | New Development Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4610 Milfax Rd, North Chesterfield, VA 23224-5604 | 2020-10-08 |
| 1114524766 | Latoya Steward | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 805 Admiral Gravely Blvd, Richmond, VA 23231 | 2020-10-07 |
| 1780281808 | Romco Enterprises, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3409 Scott St, Portsmouth, VA 23707-4001 | 2020-10-01 |
| 1710596051 | Dare To Dream Family Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2905 Steed Ct, Chesapeake, VA 23323-2843 | 2020-07-22 |
| 1780208660 | Excel Family Services of Virginia, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1100 Hubbell Dr, Virginia Beach, VA 23454-5633 | 2020-06-05 |
| 1366064313 | Monica Lotoria Ballou | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1345 N Main St, Danville, VA 24540-3721 | 2020-05-13 |
| 1790306934 | Serenity Residential Servicess, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6225 Wilmington Dr, Burke, VA 22015-3828 | 2020-04-28 |
| 1407483316 | Lighthouse Residential Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5219 Summerleaf Dr, North Chesterfield, VA 23234-2817 | 2020-03-23 |
| 1457983538 | Rokel Health Care Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7905 Dassett Ct Apt 304, Annandale, VA 22003-4878 | 2020-02-06 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22901 |
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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.