Pine Grove Group Home, Llc, NPI 1922519826
Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Garden, VA, US
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 |
Organization Official
| Official Name | MRS. RMA Stephanie Jane Jones |
| Official Position | DEPUTY DIRECTOR |
| Phone | 434-981-4052 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| Classification |
Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Group | |
| 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 0269801001 | VA | PROVIDER | 01 |
| 0269801001 | PROVIDER | 01 |
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