House Of Refuge Ministries, Llc

LBN: House Of Refuge Restoration,Llc
House Of Refuge Ministries, Llc is an health care organization with primary practice located at 805 Shadowberry Crst , Chesapeake VA 23320-3544. The organization recently has 4 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Respite Care Facility / Respite Care, Mental Illness, Child. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. House Of Refuge Restoration,Llc can be contacted via phone (757) 436-2201, or through Etheridge, Teisha via phone (757) 560-1944.

Contact Information

Primary practice address
805 Shadowberry Crst Chesapeake VA 23320-3544
Phone: (757) 436-2201
Fax: (877) 468-5361
Website:
Map and Directions
Authorized official contact:
Name: Etheridge, Teisha BS
Phone: (757) 560-1944

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X Virginia
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X Virginia
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X Virginia
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X Virginia

Profile Details

NPI number 1972757995
LBN Legal business name House Of Refuge Restoration,Llc
DBA Doing business as House Of Refuge Ministries, Llc
Authorized official Etheridge, Teisha BS
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2008
Last updated Jun 9th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972757995 NPPES
Virginia MEDICAID 1326230640
Virginia MEDICAID 117414794

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