INTERCEPT YOUTH SERVICES INC. NPI 1942301312

NPI Information

NPI: 1942301312
Provider Name: INTERCEPT YOUTH SERVICES, INC.

Other Name: ANTHEM HOUSE

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
1700 TURNER RD
RICHMOND, VA
ZIP 23225
Phone: (804) 377-3774
Get Directions

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 1942301312. The provider is registered as an organization entity type.
The provider Other Name Is Anthem House.

The provider's business location address is:

1700 TURNER RD
RICHMOND, VA
ZIP 23225-941
Phone: (804) 377-3774
Fax: (804) 377-3776

The provider's authorized official is Don Kamencik .
The authorized official title is Cfo and has the following contact phone number (804) 612-3317.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 9/24/2020.

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	251S00000X	Community/Behavioral Health				No
2	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		295-14-007	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	010075688	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: 4/28/2024

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