INTERCEPT YOUTH SERVICES INC. NPI 1487755922

NPI Information

  • NPI: 1487755922
  • Provider Name: INTERCEPT YOUTH SERVICES, INC.
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Other Name: PROVIDENCE HOUSE
  • Address: 2241 S PROVIDENCE RD
    RICHMOND, VA
    ZIP 23236
  • Phone: (804) 497-7900

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NPI Details

INTERCEPT YOUTH SERVICES, INC. is a residential treatment facility emotionally disturbed children in Richmond, VA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. INTERCEPT YOUTH SERVICES, INC. NPI is 1487755922. The provider is registered as an organization entity type.
The provider Other Name Is Providence House.

The provider's business location address is:

2241 S PROVIDENCE RD
RICHMOND, VA
ZIP 23236-159
Phone: (804) 497-7900
Fax: (804) 497-7902

The provider's authorized official is Yolanda Winfield .
The authorized official title is Revenue Cycle Manager and has the following contact phone number (804) 807-1201.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 11/19/2024.

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
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children295-14-006VIRGINIAYes

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
130015173320394MEDICAIDVIRGINIA

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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