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RAGGED MOUNTAIN HOME LLC NPI 1033434279


NPI Information

NPI: 1033434279
Provider Name: RAGGED MOUNTAIN HOME, LLC
Classification: Psychiatric Residential Treatment Facility - 323P00000X
Entity Type: Organization
Address:
1176 RESERVOIR RD
CHARLOTTESVILLE, VA
ZIP 22903
Phone: (434) 293-7641
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RAGGED MOUNTAIN HOME, LLC is a psychiatric residential treatment facility in Charlottesville, VA. The provider is a residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary RAGGED MOUNTAIN HOME, LLC NPI is 1033434279. The provider is registered as an organization entity type.

The provider's business location address is:

1176 RESERVOIR RD
CHARLOTTESVILLE, VA
ZIP 22903-761
Phone: (434) 293-7641
Fax: (434) 293-8404

The provider's authorized official is Eugene Joseph Conti .
The authorized official title is Owner and has the following contact phone number (434) 293-7641.

The enumeration date for this NPI number is 3/31/2010 and was last updated on 3/31/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children472-14-001VIRGINIANo
2323P00000XPsychiatric Residential Treatment Facility472-14-001VIRGINIAYes

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: 11/14/2023

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