Pine Grove Group Home, Llc
LBN: Pine Grove Group Home, Llc
Pine Grove Group Home, Llc is an health care organization with primary practice located at 4116 Red Hill School Rd , North Garden VA 22959-1733. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Meals, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty.
Pine Grove Group Home, Llc can be contacted via phone (434) 295-1615, or through Jones, Stephanie Jane via phone (434) 981-4052.
Contact Information
Primary practice address
4116 Red Hill School Rd
North Garden VA 22959-1733
Phone: (434) 295-1615
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Meals | 174200000X | ||
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | 069801001 | Virginia |
Profile Details
| NPI number | 1922519826 |
|---|---|
| LBN Legal business name | Pine Grove Group Home, Llc |
| DBA Doing business as | |
| Authorized official | Jones, Stephanie Jane RMA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 18th, 2017 |
| Last updated | Jun 16th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922519826 | NPPES |
| Virginia | Other | 0269801001 | PROVIDER |
| Virginia | Other | 0269801001 | PROVIDER |
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