BACK 2 BASICS, LLC (NPI# 1225200827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225200827 |
| Entity Type | Organization |
| Organization Name | BACK 2 BASICS, LLC |
| Practice Address |
3808 Candlegrove Ct Richmond VA 23223-1440 |
| Practice Telephone | 8042282230 |
| Mailing Telephone | 8042282230 |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-06-03 |
| Authorized Official Name | MRS. SHIRLETTA PATRICE HIGHSMITH (OWNER/PROGRAM DIRECTOR) |
| Authorized Official Telephone | 8043269430 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | SS376/4051-07 | VA | Residential Treatment Facilities |
| Street Address |
3808 CANDLEGROVE CT |
| City | RICHMOND |
| State | VA |
| Zip Code | 23223-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295291953 | Hope Pharmacy, Inc. | Pharmacy | 1330 N. 25th Street, Richmond, VA 23223 | 2019-02-18 |
| 1063918019 | Terri Ann Russell | Social Worker | Henrico County Public Schools, 3820 Nine Mile Rd., Henrico, VA 23223 | 2018-03-30 |
| 1871092171 | Sharon H. Joyner | Non-emergency Medical Transport (VAN) | 3217 Arthurwood Pl, Richmond, VA 23223 | 2018-02-02 |
| 1497275309 | Jennifer Lynn Dent | Physical Therapist | 10 S 20th Street, Unit U408, Richmond, VA 23223 | 2017-06-21 |
| 1568982551 | Andrea Sledd | Social Worker | 200 N. 22nd Street, Richmond, VA 23223 | 2017-06-21 |
| 1528597903 | Ashley Telisa Battle | Physical Therapy Assistant | 12100 Chancellors Village Lane, Fredericksburg, VI 23223 | 2017-06-08 |
| 1811436199 | Dedric Lee Sr. | Home Health Aide | 527 N Laburnum Ave Apt 2, Richmond, VA 23223 | 2017-02-20 |
| 1619424181 | Brighter Prospective Residential Services, LLC | Transportation Broker | 2509 Tonoka Road, Henrico, VA 23223 | 2016-09-01 |
| 1629425277 | Spread Your Wings | Non-emergency Medical Transport (VAN) | 709 Hallwood Farms Dr., Richmond, VA 23223 | 2016-05-24 |
| 1396120010 | Robert Reaves Griffin IIi | Pharmacist | 3601 Mechanicsville Turnpike, Richmond, VA 23223 | 2015-07-23 |
| Find all providers in zip 23223 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030054 | Life's Purpose | Residential Treatment Facility, Emotionally Disturbed Children | 1211 Lark Ln, Richmond, TX 77469-7803 | 2020-07-07 |
| 1871099721 | Imagination LLC | Residential Treatment Facility, Emotionally Disturbed Children | 318 N Wilkinson Rd, Richmond, VA 23227-1631 | 2018-03-31 |
| 1336454552 | Wernle Youth & Family Treatment Center | Residential Treatment Facility, Emotionally Disturbed Children | 2000 Wernle Rd, Richmond, IN 47374-7015 | 2010-08-12 |
| 1053641167 | Postive Outlook | Residential Treatment Facility, Emotionally Disturbed Children | 3601 Springtime Ct, Richmond, VA 23223-1692 | 2010-01-12 |
| 1568698165 | Hopes Haven Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3515 Skipping Rock Way, Richmond, VA 23234-2971 | 2009-06-09 |
| 1356593693 | Jackson-feild Homes | Residential Treatment Facility, Emotionally Disturbed Children | 205 North Blvd, Richmond, VA 23220-4006 | 2008-10-17 |
| 1952567182 | Secure Haven Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 1706 Hungary Rd, Richmond, VA 23228-2335 | 2008-08-07 |
| 1134389943 | Gabrielle's House | Residential Treatment Facility, Emotionally Disturbed Children | 725 S Providence Rd, Richmond, VA 23236-3337 | 2008-06-15 |
| 1669649364 | Strong Girls, Smart Women LLC | Residential Treatment Facility, Emotionally Disturbed Children | 5210 Lingle Ln, Richmond, VA 23234-6618 | 2008-05-12 |
| 1699962837 | Advanced Services for Kids, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 1809 Lesuer Rd, Richmond, VA 23229-4220 | 2007-10-02 |
| Find all providers in RICHMOND | ||||
Please comment or provide details below to improve the information on BACK 2 BASICS, 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.