ANDREA'S HOME LLC – NPI #1043171614
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Emotionally Disturbed Children

ANDREA'S HOME LLC is a residential treatment facility located in HAMPTON, VA. NPPES has assigned the NPI number 1043171614 to ANDREA'S HOME LLC on November 21, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

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 ANDREA'S HOME LLC below.

NPI Profile for
ANDREA'S HOME LLC

NPI Number
1043171614
Enumeration Date

(about 7 months 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
ANDREA'S HOME LLC
Primary location
306 HOLLYWOOD AVE
HAMPTON, VA 23661-2504
Phone: (718) 924-0443 Fax: (718) 924-0443
Mailing address
510 WINE ST
HAMPTON, VA 23669-3163
Phone: (718) 924-0443 Fax: (718) 924-0443
Organization Subpart
No
Authorized Official
YANOVA MITCHENER
OWNER
Phone: (718) 924-0443
Updated
Certification Date
Nov 21, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)

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.