SUPPORTIVE RESIDENTIAL LLC NPI 1962280727

NPI Information

NPI: 1962280727
Provider Name: SUPPORTIVE RESIDENTIAL LLC
Classification: Day Training/Habilitation Specialist - 373H00000X
Entity Type: Organization
Address:
934 PLEASANT ST
RICHMOND, VA
ZIP 23223
Phone: (804) 305-4790
Get Directions

SUPPORTIVE RESIDENTIAL LLC is a day training habilitation specialist in Richmond, VA. The provider is individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. SUPPORTIVE RESIDENTIAL LLC NPI is 1962280727. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

934 PLEASANT ST
RICHMOND, VA
ZIP 23223-190
Phone: (804) 305-4790

The provider's authorized official is Ashley Renee Clark .
The authorized official title is EXECUTIVE DIRECTORDirector and has the following contact phone number (804) 305-4790.

The enumeration date for this NPI number is 9/21/2023 and was last updated on 9/21/2023.

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
1	373H00000X	Day Training/Habilitation Specialist				Yes

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

NPI Synchronization or Removal

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