SOUTHSIDE VIRGINIA TRANINNG CENTER – NPI #1093794877
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

SOUTHSIDE VIRGINIA TRANINNG CENTER is a residential treatment facility located in PETERSBURG, VA. NPPES has assigned the NPI number 1093794877 to SOUTHSIDE VIRGINIA TRANINNG CENTER on January 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHSIDE VIRGINIA TRANINNG CENTER below.

NPI Profile for
SOUTHSIDE VIRGINIA TRANINNG CENTER

NPI Number
1093794877
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHSIDE VIRGINIA TRANINNG CENTER
Primary location
26317 W WASHINGTON ST
PETERSBURG, VA 23803-0030
Phone: (804) 524-7209 Fax: (804) 524-7228
Mailing address
PO BOX 4030
PETERSBURG, VA 23803-0030
Phone: (804) 524-7209 Fax: (804) 524-7228
Organization Subpart
No
Authorized Official
JOHN HOLLAND
FACILITY DIRECTOR
Phone: (804) 524-7209
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
VA 28892

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.