AMIKIDS VIRGINIA WILDERNESS (NPI# 1275762700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275762700 |
Entity Type | Organization |
Organization Name | AMIKIDS VIRGINIA WILDERNESS |
Other Organization Name | VIRGINIA WILDERNESS INSTITUTE |
Practice Address |
3477 Wilderness Road Oakwood VA 24631 |
Mailing Address |
Po Box 613 Oakwood VA 24631-0613 |
Practice Telephone | 2764987032 |
Practice Fax Number | 2764984863 |
Mailing Telephone | 2764987032 |
Mailing Fax Number | 2764984863 |
Enumeration Date | 2009-07-06 |
Last Update Date | 2010-09-15 |
Authorized Official Name | MRS. OTELIA REBECCA ENGLAND (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2764987032 |
Authorized Official Credential | M.ED. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | CO-437-09 | VA | Residential Treatment Facilities |
Y | 323P00000X | Psychiatric Residential Treatment Facility | CO-437-09 | VA | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Virginia Wilderness Institute | Former Legal Business Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | AMIKids Virginia Wilderness Inc. | P.o. Box 613, Oakwood, Virginia 24631 |
Street Address |
3477 WILDERNESS ROAD |
City | OAKWOOD |
State | VA |
Zip Code | 24631 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013546381 | Tonya Noel Traas | Pharmacist | 10273 Garden Creek Road, Oakwood, VA 24631 | 2020-04-07 |
1053668996 | St Charles Health Council Inc | Clinic/Center | 10953 Riverside Drive, Oakwood, VA 24631 | 2012-08-09 |
1881821882 | Oakwood Volunteer Fire Department Incorporated | Ambulance | 10491 Garden Creek Rd, Oakwood, VA 24631 | 2009-06-17 |
1528189602 | Robert Ralph Hagy Sr. | Dentist | 10941 Riverside Drive, Oakwood, VA 24631 | 2007-04-03 |
1134184294 | Glenna Carolyn Thornsbury | Nurse Practitioner | Rt 460, Oakwood, VA 24631 | 2006-04-19 |
1760447981 | Merit Medical Rural Health Clinic-oakwood, Inc. | Clinic/Center | 1016 Kennel Gap Road, Oakwood, VA 24631 | 2006-04-19 |
1649408535 | Sarah Elizabeth-shea Thompson | Physical Therapist | 2949 West Front Street, Richlands, VA 24631 | 2009-06-30 |
1992883920 | Family Preservation Services, Inc | Community/Behavioral Health | Rt 460, Oakwood, VA 24631 | 2006-11-01 |
1093722845 | Brooks Ryan Crumpton | Dentist | 11277 Riverside Dr., Oakwood, VA 24631-1017 | 2006-08-02 |
1548225808 | Ramesh P Kabaria | Internal Medicine | 13430 Riverside Dr, First Floor, Oakwood, VA 24631-8723 | 2006-04-19 |
Find all providers in zip 24631 |
Taxonomy Code | 323P00000X |
Grouping | Residential Treatment Facilities |
Classification | Psychiatric Residential Treatment Facility |
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992322598 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 4700 Monterey Dr, Annandale, VA 22003-5927 | 2020-06-30 |
1003372780 | Monroe Operations, LLC | Psychiatric Residential Treatment Facility | 1620 Davidson Rd, Mc Lean, VA 22101-4304 | 2019-02-18 |
1093271777 | Monroe Operations, LLC | Psychiatric Residential Treatment Facility | 1622 Davidson Rd, Mc Lean, VA 22101-4304 | 2019-02-18 |
1841770849 | Monroe Operations, LLC | Psychiatric Residential Treatment Facility | 1624 Davidson Rd, Mc Lean, VA 22101-4304 | 2018-08-19 |
1275025694 | Strategic Healthcare of Virginia, Incorporated | Psychiatric Residential Treatment Facility | 468 Dryden Loop, Dryden, VA 24243 | 2018-06-01 |
1497283527 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 10416 Burke Lake Rd, Fairfax Station, VA 22039-1808 | 2017-06-02 |
1932635976 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 5949 Oakdale Rd, Mc Lean, VA 22101-3331 | 2017-05-11 |
1750823399 | Safe Haven Transitional Youth Services | Psychiatric Residential Treatment Facility | 3021 Macallan Pkwy, Henrico, VA 23231-7269 | 2016-11-14 |
1619324753 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 7809 Schelhorn Rd, Alexandria, VA 22306-2825 | 2016-05-18 |
1356722722 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 5343 Summit Dr, Fairfax, VA 22030-6523 | 2015-06-11 |
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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.