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CLEARR VISSION SUPPORT SERVICES INC NPI 1952850380


NPI Information

NPI: 1952850380
Provider Name: CLEARR VISSION SUPPORT SERVICES, INC

Doing Business As: CLEARR VISSION RESIDENTIAL SERVICES

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1323 ASBURY RD
RICHMOND, VA
ZIP 23229
Phone: (804) 677-8307
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CLEARR VISSION SUPPORT SERVICES, INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Richmond, VA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. CLEARR VISSION SUPPORT SERVICES, INC NPI is 1952850380. The provider is registered as an organization entity type.
The provider Is Doing Business As Clearr Vission Residential Services.

The provider's business location address is:

1323 ASBURY RD
RICHMOND, VA
ZIP 23229-305
Phone: (804) 677-8307
Fax: (804) 328-1793

The provider's authorized official is Derwin L Hickman .
The authorized official title is Ceo and has the following contact phone number (804) 677-8307.

The enumeration date for this NPI number is 9/27/2016 and was last updated on 9/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities792-02-001VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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