OUTREACH RESIDENTIAL SERVICES INC. NPI 1710437801

NPI Information

NPI: 1710437801
Provider Name: OUTREACH RESIDENTIAL SERVICES, INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
5032 NILES RD
NORTH CHESTERFIELD, VA
ZIP 23234
Phone: (804) 743-8155
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OUTREACH RESIDENTIAL SERVICES, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in North Chesterfield, VA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. OUTREACH RESIDENTIAL SERVICES, INC. NPI is 1710437801. The provider is registered as an organization entity type.

The provider's business location address is:

5032 NILES RD
NORTH CHESTERFIELD, VA
ZIP 23234-538
Phone: (804) 743-8155
Fax: (804) 275-4267

The provider's authorized official is Beverly Banks .
The authorized official title is Owner and has the following contact phone number (804) 743-8155.

The enumeration date for this NPI number is 10/12/2016 and was last updated on 10/12/2016.

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	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		656-01-001	VIRGINIA	Yes

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

NPI Synchronization or Removal

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