VTCC-RESIDENTAL TREATMENT – NPI #1275690976
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.

VTCC-RESIDENTAL TREATMENT is a residential treatment facility located in RICHMOND, VA. NPPES has assigned the NPI number 1275690976 to VTCC-RESIDENTAL TREATMENT on January 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “VTCC-RESIDENTAL TREATMENT” is a dba name, the actual legal business name for this organization is VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY. 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.

The NPI profile was previously updated about 8 years ago on Jun 11, 2018. 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 VTCC-RESIDENTAL TREATMENT below.

NPI Profile for
VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY

NPI Number
1275690976
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
VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY
Doing Business As (dba): VTCC-RESIDENTAL TREATMENT
Primary location
1308 SHERWOOD AVE
RICHMOND, VA 23220
Phone: (804) 628-6643 Fax: (804) 828-2029
Mailing address
PO BOX 758997
BALTIMORE, MD 21275-0001
Phone: Fax:
Organization Subpart
No
Authorized Official
MELINDA HANCOCK
CFO
Phone: (804) 212-5145
Updated
Identifiers

Identifiers for VTCC-RESIDENTAL TREATMENT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDVA207063
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)
VA H1875

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.