IMPACT YOUTH SERVICES, LLC (NPI# 1285801928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285801928 |
| Entity Type | Organization |
| Organization Name | IMPACT YOUTH SERVICES, LLC |
| Practice Address |
6725 Casey Savannah Ln Richmond VA 23234-8013 |
| Mailing Address |
14507 Glenmorgan Dr Chester VA 23831-6638 |
| Practice Telephone | 8043019624 |
| Practice Fax Number | 8044540243 |
| Mailing Telephone | 8043019624 |
| Mailing Fax Number | 8044540243 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-09-24 |
| Authorized Official Name | DR. DEBBIE LOUREEN CADET (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 8043019624 |
| Authorized Official Credential | PH. D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 88314001 | VA | Residential Treatment Facilities |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 88314001 | VA | Residential Treatment Facilities |
| Street Address |
6725 CASEY SAVANNAH LN |
| City | RICHMOND |
| State | VA |
| Zip Code | 23234-8013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750941415 | Sabrina Branch Griffin | Registered Nurse | 3513 Skipping Rock Way, Richmond, VA 23234 | 2019-06-15 |
| 1306368782 | Nile LLC. | Taxi | 5580 Heatherhill Dr., North Chesterfield, VA 23234 | 2017-07-07 |
| 1467808923 | Donnell Fonville | Driver | 4137 Woodfield Rd, N Chesterfield, VA 23234 | 2016-05-13 |
| 1710225818 | Vernon J Harris East End Community Health Center | Clinic/Center | 2740 Bensley Commons Boulevard, Chesterfield, VA 23234 | 2013-01-24 |
| 1063799260 | Professional Mental Health Educational Consultants, LLC | Psychologist | 4222 Bonnie Bank Road, Suite 300, Richmond, VA 23234 | 2011-11-16 |
| 1184930463 | Abundant Life Center IIh & Mhss | Community/Behavioral Health | 4222 Bonniebank Rd #304, Richmond, VA 23234 | 2010-08-25 |
| 1164675385 | Kingdom Dominion LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7024 O Malley Dr, Same, Richmond, VA 23234 | 2008-10-31 |
| 1417128463 | Tsg Services, Inc. | Day Training, Developmentally Disabled Services | 6401 Irongate Drive, Richmond, VA 23234 | 2008-03-18 |
| 1942479381 | Coretha Marie Claiborn | Counselor | 700 S. Sycamore Street, Suite 6, Petersburg, VA 23234 | 2008-02-29 |
| 1366572372 | Kids In Focus II, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 6507 Irongate Road, Richmond, VA 23234 | 2007-03-07 |
| Find all providers in zip 23234 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454176 | Viandsa Care Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17203 Quiet Song Ct, Richmond, TX 77407-2964 | 2020-10-14 |
| 1053919050 | Building Bridges In Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2007 Liberty Cove Ct, Richmond, TX 77469-2338 | 2020-10-12 |
| 1497353635 | Helping Hearts Residential Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20319 Bridge Manor Ln, Richmond, TX 77407-6494 | 2020-10-10 |
| 1427662675 | Triple D Vista Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18943 Morant Bay Dr, Richmond, TX 77407-1200 | 2020-09-04 |
| 1083264881 | Angelriel Homecare Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9146 Basin Ridge Ln, Richmond, TX 77407-1681 | 2019-09-13 |
| 1497229306 | Hope Caring Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17818 Royal Breccia Ln, Richmond, TX 77407-1770 | 2019-01-14 |
| 1194200600 | Sareena Care Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3427 Sunrise Garden Path, Richmond, TX 77406-1707 | 2018-10-01 |
| 1346728482 | Topaz Healthcare Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8503 Taraglen Ct, Richmond, TX 77407-2588 | 2018-07-31 |
| 1962988766 | Allcare Mental Health Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6419 Granite Springs Ln, Richmond, TX 77469 | 2018-07-15 |
| 1174027312 | Jade Community Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6115 Will Point Ln, Richmond, TX 77469-6148 | 2018-03-21 |
| Find all providers in RICHMOND | ||||
Please comment or provide details below to improve the information on IMPACT YOUTH SERVICES, 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.