OVERCOMERS RESIDENTIAL SERVICES, LLC (NPI# 1114353463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114353463 |
| Entity Type | Organization |
| Organization Name | OVERCOMERS RESIDENTIAL SERVICES, LLC |
| Practice Address |
2519 Professional Rd Suite A North Chesterfield VA 23235-3200 |
| Mailing Address |
Po Box 661 Chesterfield VA 23832-0009 |
| Practice Telephone | 8045627874 |
| Practice Fax Number | 8044822947 |
| Mailing Telephone | 8045627874 |
| Mailing Fax Number | 8044822947 |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-09-18 |
| Authorized Official Name | MR. MARCEL DARRYL HIGGINS (OWNER) |
| Authorized Official Telephone | 8045627874 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1569 | VA | Residential Treatment Facilities |
| Street Address |
2519 PROFESSIONAL RD SUITE A |
| City | NORTH CHESTERFIELD |
| State | VA |
| Zip Code | 23235-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275770 | Melani Jones | Social Worker | 10825 Midlothian Turnpike Ste 201r, Richmond, VA 23235 | 2020-08-12 |
| 1447880109 | Sara Hudson | Pharmacist | 2821 Hicks Rd, North Chesterfield, VA 23235 | 2020-01-22 |
| 1730729096 | Mary Tabitha Varney | Counselor | 101 Buford Rd. Unit 110, North Chesterfield, VA 23235 | 2020-01-14 |
| 1093355133 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2015 Huguenot Road, North Chesterfield, VA 23235 | 2020-01-07 |
| 1255975983 | Louise Rutledge | Psychiatry & Neurology | 1429 Buford Rd, N. Chesterfield, VA 23235 | 2019-11-06 |
| 1114489317 | Therapeutic Learning Consortium LLC | Counselor | 8154 Forest Hill Ave Ste 2, North Chesterfield, VA 23235 | 2019-04-05 |
| 1013400332 | Shawmika Wright | Social Worker | 1301 Whitehead Road, Richmond, VA 23235 | 2018-06-11 |
| 1912490608 | Cara Whiting | Physical Therapist | 1400 Johnston Willis Dr Ste B, North Chesterfield, VA 23235 | 2018-06-07 |
| 1003324682 | David E Fortin | Hearing Instrument Specialist | 10441 Midlothian Turnpike, Richmond, VA 23235 | 2018-01-17 |
| 1053836544 | Hannah Katherine Chisholm | Physical Therapist | 1400 Johnston-willis Drive, Richmond, VA 23235 | 2017-08-07 |
| Find all providers in zip 23235 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069987 | New Development Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4610 Milfax Rd, North Chesterfield, VA 23224-5604 | 2020-10-08 |
| 1407483316 | Lighthouse Residential Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5219 Summerleaf Dr, North Chesterfield, VA 23234-2817 | 2020-03-23 |
| 1326568205 | Lumzy's Residential Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7433 Cotfield Rd, North Chesterfield, VA 23237-1841 | 2017-06-22 |
| 1578824538 | Bridgeway Residential Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5118 Bridgeside Dr, North Chesterfield, VA 23234-2860 | 2012-06-06 |
| 1033493200 | Skye Is The Limit Residential Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9916 Reymet Ct, North Chesterfield, VA 23237-2375 | 2011-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952905 | Amazing Hands Health Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 25873 Kirkwood Sq, Chantilly, VA 20152-2086 | 2020-11-02 |
| 1114524766 | Latoya Steward | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 805 Admiral Gravely Blvd, Richmond, VA 23231 | 2020-10-07 |
| 1780281808 | Romco Enterprises, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3409 Scott St, Portsmouth, VA 23707-4001 | 2020-10-01 |
| 1710596051 | Dare To Dream Family Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2905 Steed Ct, Chesapeake, VA 23323-2843 | 2020-07-22 |
| 1780208660 | Excel Family Services of Virginia, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1100 Hubbell Dr, Virginia Beach, VA 23454-5633 | 2020-06-05 |
| 1366064313 | Monica Lotoria Ballou | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1345 N Main St, Danville, VA 24540-3721 | 2020-05-13 |
| 1790306934 | Serenity Residential Servicess, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6225 Wilmington Dr, Burke, VA 22015-3828 | 2020-04-28 |
| 1457983538 | Rokel Health Care Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7905 Dassett Ct Apt 304, Annandale, VA 22003-4878 | 2020-02-06 |
| 1790316388 | Precious Healthcare LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6732 Harrison Ln, Alexandria, VA 22306-1526 | 2020-02-01 |
| 1134766686 | Integrity Family Service Corp | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9409 Snowbird Rd, Chesterfield, VA 23832-6820 | 2019-12-03 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHESTERFIELD |
| Zip Code | 23235 |
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| 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.