Providing Ease Residential Services

LBN: Providing Ease Residential Services
Providing Ease Residential Services is an health care organization with primary practice located at 218 Locust Dr , Waverly VA 23890-5027. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Providing Ease Residential Services can be contacted via phone (804) 590-5706, or through Johnson, Sherita via phone (804) 590-5706.

Contact Information

Primary practice address
218 Locust Dr Waverly VA 23890-5027
Phone: (804) 590-5706
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Sherita
Phone: (804) 590-5706

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1306559596
LBN Legal business name Providing Ease Residential Services
DBA Doing business as
Authorized official Johnson, Sherita
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2023
Last updated Jan 3rd, 2023 - about 3 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 1306559596 NPPES
Virginia MEDICAID 2

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