DR. JEREMY SCOTT LEACH (NPI# 1154847382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154847382 |
| Entity Type | Individual |
| Full Name | DR. JEREMY SCOTT LEACH |
| Credential | PHD |
| Practice Address |
913 Bull Run Staunton VA 24401-1987 |
| Practice Telephone | (540) 280-4750 |
| Practice Fax Number | 5408876977 |
| Mailing Telephone | 5402804750 |
| Mailing Fax Number | 5408876977 |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2017-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
17060000409 | VA | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326161415 | Jeremy Allen Leach | Massage Therapist | 207 Delano Ave, Chillicothe, OH 45601-2250 | 2007-04-06 |
| 1629417340 | Jeremy I Leach | Pharmacist | 1025 E Highway 72 Byp, Fredericktown, MO 63645-7326 | 2013-06-15 |
| Street Address |
913 BULL RUN |
| City | STAUNTON |
| State | VA |
| Zip Code | 24401-1987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003319 | Carlo Mirabelli | Pharmacist | Wal-mart, 1028c Richmond Ave., Staunton, VA 24401 | 2020-11-03 |
| 1437649092 | Nathaniel Byron Ellis | Speech-Language Pathologist | 600 Greenville Ave, Staunton, VA 24401 | 2018-05-18 |
| 1942728985 | Staunton Treatment Center, LLC | Counselor | 15 Green Hills Drive, Staunton, VA 24401 | 2017-08-30 |
| 1144756313 | Annie L Metz | Counselor | 85 Sangers Lane, Staunton, VA 24401 | 2017-05-10 |
| 1598217804 | Bh Brightview Baldwin Park Opco, LLC | Alzheimer Center (Dementia Center) | 21 Woodlee Road, Staunton, VA 24401 | 2016-11-03 |
| 1255887022 | Courtney White | Pharmacist | 850 Statler Blvd, Statler Square, Staunton, VA 24401 | 2016-08-31 |
| 1881042596 | John H. Lee | Occupational Therapy Assistant | 1900 Hillsmere, Staunton, VA 24401 | 2016-06-03 |
| 1538531496 | Family Preservation Services, Inc | Community/Behavioral Health | 189 Hornet Road, Staunton, VA 24401 | 2015-10-30 |
| 1053714741 | Kimberly Olsen | Speech-Language Pathologist | 1 Hillsmere Lane, Staunton, VA 24401 | 2014-10-08 |
| 1790197754 | Brittany Swann Wilmoth | Physical Therapist | 1600 N. Coalter Street, Suite 302, Staunton, VA 24401 | 2014-05-27 |
| Find all providers in zip 24401 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518133115 | Living Waters Care of Staunton | Assisted Living Facility | 403 N Coalter St, Staunton, VA 24401-3464 | 2008-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497215461 | Pinnacle Community Services | Assisted Living Facility | 9001 Weems Rd, Manassas, VA 20110-4962 | 2019-03-25 |
| 1770003535 | Tiffanie Manor for Young Adults | Assisted Living Facility | 115 N Jefferson St, Richmond, VA 23220-5021 | 2017-06-22 |
| 1427588227 | Mental Wellness Residential | Assisted Living Facility | 1420 Spruce Street Extrension, Martinsville, VA 24412 | 2017-06-14 |
| 1588018071 | Arlington Voa Alr Operating, Inc. | Assisted Living Facility | 2000 5th St S, Arlington, VA 22204-1902 | 2016-04-20 |
| 1629476650 | God's Missing Angel's LLC | Assisted Living Facility | 301 Croft Xing, Chesapeake, VA 23320-7006 | 2014-12-08 |
| 1699941294 | Living Waters - Timberville | Assisted Living Facility | 379 N Main St, Timberville, VA 22853-9319 | 2008-05-02 |
| 1154501534 | Kidspeace National Centers of North America, Inc. | Assisted Living Facility | 5100 Leesburg Pike, Suite 302, Alexandria, VA 22302-1000 | 2007-11-14 |
| 1881813517 | Smith's Home for Adults | Assisted Living Facility | 16069 Martinsville Hwy, Axton, VA 24054-1973 | 2007-04-24 |
| 1548879729 | The Ataveus Cash Legacy Foundation | Assisted Living Facility | 8527 Orcutt Ave, Newport News, VA 23605-1417 | 2020-07-23 |
| 1346789831 | Saving Grace Homes and Community Living | Assisted Living Facility | 7813 Alsop Way, Spotsylvania, VA 22551-3385 | 2017-02-16 |
| Find all providers with the same taxonomy | ||||
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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.