JAMES BENTLEY TREATMENT PROGRAM NPI 1093040214

NPI Information

NPI: 1093040214
Provider Name: JAMES BENTLEY TREATMENT PROGRAM
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Doing Business As: HAVEN HOUSE FOR GIRLS
Address: 1020 LECKIE STREET
PORTSMOUTH, VA
ZIP 23704
Phone: (757) 399-4742

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NPI Details

JAMES BENTLEY TREATMENT PROGRAM is a community based residential treatment facility mental illness in Portsmouth, VA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. JAMES BENTLEY TREATMENT PROGRAM NPI is 1093040214. The provider is registered as an organization entity type.
The provider Is Doing Business As Haven House For Girls.

The provider's business location address is:

1020 LECKIE STREET
PORTSMOUTH, VA
ZIP 23704
Phone: (757) 399-4742
Fax: (757) 675-7965

The provider's authorized official is Sandra Pinnock .
The authorized official title is Director and has the following contact phone number (757) 399-4742.

The enumeration date for this NPI number is 10/6/2009 and was last updated on 10/6/2009.

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	320800000X	Community Based Residential Treatment Facility, Mental Illness		78214002	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	78214002	MEDICAID	VIRGINIA

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: 11/21/2025

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