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ACACIA ADULT RESIDENTIAL SERVICES INC. NPI 1760917181


NPI Information

NPI: 1760917181
Provider Name: ACACIA ADULT RESIDENTIAL SERVICES, INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
50 GRANGER DR
HAMPTON, VA
ZIP 23666
Phone: (757) 871-2477
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ACACIA ADULT RESIDENTIAL SERVICES, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Hampton, 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. ACACIA ADULT RESIDENTIAL SERVICES, INC. NPI is 1760917181. The provider is registered as an organization entity type.

The provider's business location address is:

50 GRANGER DR
HAMPTON, VA
ZIP 23666-633
Phone: (757) 871-2477

The provider's authorized official is Loretta Prosser Graham .
The authorized official title is President and has the following contact phone number (757) 871-2477.

The enumeration date for this NPI number is 4/23/2017 and was last updated on 9/25/2018.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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

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