AN EXTENSION OF OUR FAMILYLLC NPI 1083322457

NPI Information

  • NPI: 1083322457
  • Provider Name: AN EXTENSION OF OUR FAMILY,LLC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 14810 ACORN RIDGE RD
    MIDLOTHIAN, VA
    ZIP 23112
  • Phone: (804) 479-5761

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NPI Details

AN EXTENSION OF OUR FAMILY,LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Midlothian, 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. AN EXTENSION OF OUR FAMILY,LLC NPI is 1083322457. The provider is registered as an organization entity type.

The provider's business location address is:

14810 ACORN RIDGE RD
MIDLOTHIAN, VA
ZIP 23112-302
Phone: (804) 479-5761

The provider's authorized official is Deangelo Rives .
The authorized official title is Manager and has the following contact phone number (804) 479-5761.

The enumeration date for this NPI number is 11/14/2022 and was last updated on 11/14/2022.

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 DisabilitiesYes

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: 3/30/2025

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