Pine Grove Group Home, Llc, NPI 1922519826
Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Garden, VA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1922519826
NPI Entity Type Organization
Provider Name Pine Grove Group Home, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 4116 Red Hill School Rd, North Garden, VA, US
Provider Mailing Address 4116 Red Hill School Rd, North Garden, VA, US, 229591733
Is Sole Proprietor? No
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Organization Official

Official Name MRS. RMA Stephanie Jane Jones
Official Position DEPUTY DIRECTOR
Phone 434-981-4052

Primary Taxonomy

Taxonomy Code

320600000X

Taxonomy Name Intellectual and/or Developmental Disabilities Residential Treatment Facility
Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Group

Residential Treatment Facilities

License No. 069801001
License State VA
Description A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Business Address

Pine Grove Group Home, Llc
4116 Red Hill School Rd

North Garden, VA, US

Phone: 434-295-1615

Mailing Address

Pine Grove Group Home, Llc
4116 Red Hill School Rd
North Garden, VA, US
ZIP 229591733
Phone: 434-295-1615

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

174200000X

Other Service Providers

Meals

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
0269801001 VA PROVIDER 01
0269801001 PROVIDER 01

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