DOMINION YOUTH SERVICES RESIDENTIAL LLC – NPI #1649317918
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

DOMINION YOUTH SERVICES RESIDENTIAL LLC is a community based residential treatment facility located in RICHMOND, VA. NPPES has assigned the NPI number 1649317918 to DOMINION YOUTH SERVICES RESIDENTIAL LLC on January 30, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DOMINION YOUTH SERVICES RESIDENTIAL LLC” is a dba name, the actual legal business name for this organization is DOMINION YOUTH SERVICES. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

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 DOMINION YOUTH SERVICES RESIDENTIAL LLC below.

NPI Profile for
DOMINION YOUTH SERVICES

NPI Number
1649317918
Enumeration Date

(more than 19 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
DOMINION YOUTH SERVICES
Doing Business As (dba): DOMINION YOUTH SERVICES RESIDENTIAL LLC
Primary location
2504 PRESTWICK CIRCLE
RICHMOND, VA 23294
Phone: (804) 527-7850 Fax: (804) 527-7851
Mailing address
PO BOX 70296
RICHMOND, VA 23255-0296
Phone: (804) 285-9838 Fax: (804) 285-9839
Organization Subpart
No
Authorized Official
GL PULLIAM
DIRECTOR OF RESIDENTIAL
Phone: (804) 285-9838
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
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)		 VA 406-14-003

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.