GROUP RESIDENTIAL AND CARE ESTABLISHMENT


Address: 2021b Cunningham Dr, Suite 3, Hampton, VA 23666-3326
Phone: 7573258399

GROUP RESIDENTIAL AND CARE ESTABLISHMENT (NPI# 1144699034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144699034
Entity Type Organization
Organization Name GROUP RESIDENTIAL AND CARE ESTABLISHMENT
Other Organization Name GRACE, INC.
Practice Address 2021b Cunningham Dr
Suite 3
Hampton
VA 23666-3326
Mailing Address Po Box 8227
Hampton
VA 23666-0280
Practice Telephone 7573258399
Practice Fax Number 7573258321
Mailing Telephone 7573258399
Mailing Fax Number 7573258321
Enumeration Date 2015-09-21
Last Update Date 2015-09-21
Authorized Official Name MR. RODNEY JEROME HAWKINS (DIRECTOR)
Authorized Official Telephone 7573258399
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 253Z00000X In Home Supportive Care 71303011 VA Agencies
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 71301001 VA Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
VA 0101420900 05

Other Provider/Organization Names

Other Name Type Code
GRACE, Inc. Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Group Residential and Care Establishment Inc. 2021 Cunningham Drive, Suite 320, Hampton, Virginia 23666

Office Location

Street Address 2021B CUNNINGHAM DR
SUITE 3
City HAMPTON
State VA
Zip Code 23666-3326

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962688341 Evolve Therapeutic Counseling Services, LLC Community Based Residential Treatment Facility, Mental Illness 2021b Cunningham Dr, Suite 2, Hampton, VA 23666-3326 2008-01-15
1932648854 Absolute Home Health Care LLC Respite Care 2021b Cunningham Dr, Suite 2, Hampton, VA 23666-3326 2017-02-13
1245782192 Accommodating Brilliant Caring Travels, LLC Taxi 2021b Cunningham Dr, Suite 2, Hampton, VA 23666-3326 2016-10-26
1922474055 Total Care of Virginia, LLC Home Health 2021b Cunningham Dr, Suite 3, Hampton, VA 23666-3326 2015-08-12
1700104536 Evolve Therapeutic Counseling Services, LLC Community/Behavioral Health 2021b Cunningham Dr, Suite 2, Hampton, VA 23666-3326 2010-05-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548824022 Melanin Excellence Medical Transportation Co LLC Non-emergency Medical Transport (VAN) 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 2019-04-30
1952880502 Exquisite Counseling Services LLC Counselor 2703 Build America Drive, Hampton, VA 23666 2018-08-13
1063999811 Speak From The Heart Speech-Language Pathologist 2 Abbott Dr, Hampton, VA 23666 2018-07-24
1245724632 Drashti Khamar Dentist 2040 Coliseum Dr # A27, Hampton, VA 23666 2018-06-19
1750874772 Dion J Roszina Private Vehicle 806 Charlton,dr, Hampton, VA 23666 2018-06-13
1205352481 Crystal Lynn Harris Counselor 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 2017-08-18
1538693361 Marquis A. Norton Counselor 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 2017-04-18
1194181966 Key Elements Care, LLC Case Management 20 Research Dr Ste 600, Hampton, VA 23666 2016-01-11
1740665215 Lauren-grey Gonzales Igel Hearing Instrument Specialist 1507 Hardy Cash Drive, Hampton, VA 23666 2015-07-27
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831625060 The Arc of Hunterdon County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 17 Route 173, Hampton, NJ 08827-4125 2017-05-09
1942735600 The Arc of Hunterdon County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 14 Henderson Hill Rd, Hampton, NJ 08827-4009 2017-05-01
1417379561 Felicia Dyke Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 10 Castle Haven Rd, Hampton, VA 23666-6032 2014-01-08
1194166074 Precious Moments LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4701 81st St, Hampton, VA 23605-1621 2013-07-09
1346588126 Arbor Springs Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11605 New Hope Rd, Hampton, GA 30228-1590 2013-01-29
1710235197 Harmony House Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 12 Toledo Ct, Hampton, VA 23666-1636 2012-08-16
1306147335 Haven Care, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11670 Kades Trl, Hampton, GA 30228-4012 2010-11-08
1487954681 Harmony House Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 37 Santa Barbara Dr, Hampton, VA 23666-1620 2010-10-22
1992961908 Serenity C & C Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 100 Glica Ct, Hampton, VA 23666-5699 2008-07-30
1760917181 Acacia Adult Residential Services, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 50 Granger Dr, Hampton, VA 23666-4633 2017-04-23
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City HAMPTON
Zip Code 23666

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Dataset Information

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.

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