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VIRGINIA MISSION HEALTH ACQUISITION LLC NPI 1104554625


NPI Information

NPI: 1104554625
Provider Name: VIRGINIA MISSION HEALTH ACQUISITION LLC

Doing Business As: A MISSION FOR MICHAEL

Classification: Psychiatric Residential Treatment Facility - 323P00000X
Entity Type: Organization

CLIA Number: 49D2272260

Address:
7803 REBEL DR
ANNANDALE, VA
ZIP 22003
Phone: (703) 348-9746
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VIRGINIA MISSION HEALTH ACQUISITION LLC is a psychiatric residential treatment facility in Annandale, VA. The provider is a residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary VIRGINIA MISSION HEALTH ACQUISITION LLC NPI is 1104554625. The provider is registered as an organization entity type.
The provider Is Doing Business As A Mission For Michael.

The provider's business location address is:

7803 REBEL DR
ANNANDALE, VA
ZIP 22003-429
Phone: (703) 348-9746
Fax: (949) 579-2876

The provider's authorized official is Jeffrey Farbman .
The authorized official title is Office Manager and has the following contact phone number (949) 424-9921.

The CLIA number assigned to this NPI record is 49D2272260 - other - residentional mental hlth with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2022 and was last updated on 12/5/2022.


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
1323P00000XPsychiatric Residential Treatment FacilityYes

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
1578314OTHERVIRGINIATHE JOINT COMMISSION
24531-01-003OTHERVIRGINIADEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.