RAVEN'S NEST LLC (NPI# 1053721381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053721381 |
| Entity Type | Organization |
| Organization Name | RAVEN'S NEST LLC |
| Practice Address |
1247 Fort Mitchell Dr Chase City VA 23924-5340 |
| Practice Telephone | 4347388493 |
| Mailing Telephone | 4347388493 |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |
| Authorized Official Name | RAVEN JACKSON (DIRECTOR) |
| Authorized Official Telephone | 4342100343 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2181 | VA | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | RAVEN'S NEST LLC | 4722 Traffic Rd, Victoria, Virginia 23974 |
| Street Address |
1247 FORT MITCHELL DR |
| City | CHASE CITY |
| State | VA |
| Zip Code | 23924-5340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588209647 | Miranda Fields | Nurse Practitioner | 5539 Va-47, Chase City, VA 23924 | 2019-11-13 |
| 1174746390 | Cheryl Evans Lard | Occupational Therapist | 5339 Hwy 47, Chase City, VA 23924 | 2007-04-10 |
| 1114067642 | Fw Richards Jr Inc | Pharmacy | 932 North Main St, Chase City, VA 23924 | 2007-02-07 |
| 1063581593 | William Lynn Thomas | Dentist | 237 E. 5th Street, Chase City, VA 23924 | 2006-11-07 |
| 1689772238 | Dominion Health Medical Assoc | Legal Medicine | 946 N. Main St, Chase City, VA 23924 | 2006-09-20 |
| 1912957929 | Chase City Rescue Squad, Inc. | Emergency Medical Technician, Intermediate | 335 Mecklenburg Drive, Chase City, VA 23924 | 2006-05-11 |
| 1124566070 | Being A Blessing Consulting Agency, LLC | Home Health | 518 N Main St, Chase City, VA 23924 | 2017-02-10 |
| 1457748600 | Save Our Future Inc | Health Maintenance Organization | 921 N. Main Street, Chase City, VA 23924 | 2015-04-24 |
| 1912420167 | Reliable Transportation Service LLC | Non-emergency Medical Transport (VAN) | 568 N Washington St, Chase City, VA 23924-1107 | 2017-07-19 |
| 1780230649 | Mark Joseph Hairston | Pharmacist | 610 N Main St, Chase City, VA 23924-1133 | 2019-08-15 |
| Find all providers in zip 23924 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729213 | Saint Claire Healthcare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5601 Seminary Rd Apt 915n, Falls Church, VA 22041-2997 | 2020-10-28 |
| 1780283275 | Great Day Residential | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6606 Gills Gate Pl, Chesterfield, VA 23832-6004 | 2020-10-26 |
| 1306451448 | Nikita S Banks | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 505 Cumberland Street Ave, Ste 2, Portsmouth, VA 23704-2370 | 2020-09-15 |
| 1396359576 | Best Hope Community Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9662 Hawkshead Dr, Lorton, VA 22079-2786 | 2020-09-03 |
| 1609489038 | Viana Healthcare Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8205 Mockingbird Dr, Annandale, VA 22003-3713 | 2020-08-25 |
| 1770196339 | Jilly Healthcare Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4145 Lenox Dr, Fairfax, VA 22032-1112 | 2020-08-24 |
| 1225640279 | Guardian Angels Homecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1116 Pin Oak Drive, Suffolk, VA 23434-2343 | 2020-08-20 |
| 1659993079 | Collaborative Community LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6000 Filbert Ct, Springfield, VA 22152-1609 | 2020-05-07 |
| 1356962252 | Intellectual Services Group, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4813 Integrity Ct, Fredericksburg, VA 22408-1891 | 2020-05-01 |
| 1699394346 | Peace of Mind Residential Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Pinehurst Ln, Stafford, VA 22554-7288 | 2020-04-13 |
| Find all providers with the same taxonomy | ||||
| City | CHASE CITY |
| Zip Code | 23924 |
Please comment or provide details below to improve the information on RAVEN'S NEST LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.