INDEPENDENT HOMES, INC


Address: 1816 Arch St, Petersburg, VA 23805-1618
Phone: 8047211720

INDEPENDENT HOMES, INC (NPI# 1285902320) 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) 1285902320
Entity Type Organization
Organization Name INDEPENDENT HOMES, INC
Practice Address 1816 Arch St
Petersburg
VA 23805-1618
Mailing Address Po Box 3163
Petersburg
VA 23805-3163
Practice Telephone 8047211720
Practice Fax Number 8042142177
Mailing Telephone 8047211720
Mailing Fax Number 8042142177
Enumeration Date 2011-12-04
Last Update Date 2011-12-04
Authorized Official Name PASCAL THEBAUD (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8047211720
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 139901001 VA Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1225431976 Independent Homes, Inc Home Health 10 Main St, 3rd Floor, North Andover, MA 01845-2410 2014-10-08

Other Data Sources

Entity Type Entity Name Entity Address
Massachusetts Corporations INDEPENDENT HOMES, INC 10 Main Street, North Andover, MA 01845

Office Location

Street Address 1816 ARCH ST
City PETERSBURG
State VA
Zip Code 23805-1618

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134690647 Miles Viant Occupational Therapist 287 E Blvd, Petersburg, VA 23805 2018-12-10
1245756964 Dexter Shabazz Lett Registered Nurse 10543 S. Crater Rd, S. Prince George, VA 23805 2017-08-15
1891145876 Taylor Enhanced Living Counselor 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 2016-06-21
1700255205 Ina Thompson Counselor 272 Medical Park Boulevard, Petersburg, VA 23805 2015-09-15
1932582541 Valeria Edda Madrid Malo Bohorquez Internal Medicine 50 Medical Park Blvd Ste C, Petersburg, VA 23805 2015-06-30
1548642788 Justin Andrew Phillingane Podiatrist 3335 S Crater Rd Ste 500, Petersburg, VA 23805 2015-06-24
1225417082 Paladin Dermatology LLC Nurse Practitioner 44 A& B Medical Park Blvd, Petersburg, VA 23805 2015-05-27
1245652544 Family Services Inc. Health Maintenance Organization 1045 Gustavo Lane, Petersburg, VA 23805 2014-01-06
1619268075 Charlene Belangia Massage Therapist 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 2011-04-20
1760709638 Caresouth Hha Holdings of Virginia, LLC Home Health 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 2010-04-30
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649813478 Altruistic Life Services, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2443 Parkview Ave, Petersburg, VA 23803-4811 2019-10-24
1215360706 Independent Family Services, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1953 Coggin St, Petersburg, VA 23805-2009 2013-08-20
1205184157 Positive Living Choices LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1735 Monticello St, Petersburg, VA 23805-1640 2012-08-27
1013139690 Pryor House, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1822 Bogese Dr, Petersburg, VA 23805-2920 2007-05-03
1902978752 Visions Family Services, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 10553 S Crater Rd, Petersburg, VA 23805-7333 2006-11-15
1659970309 Faithful Friends Family Services, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1040 7th St, Petersburg, VA 23803-5259 2020-10-23
1548475098 Pike County Area Rehabilitation Centers Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 403 S 3rd St, Petersburg, IN 47567-1654 2007-05-10
1043423312 Pike County Area Rehabilitation Centers Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1214 E Main St, Petersburg, IN 47567-1339 2007-05-07
1093794877 Southside Virginia Traninng Center Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 26317 W Washington St, Petersburg, VA 23803-0030 2006-01-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457952905 Amazing Hands Health Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 25873 Kirkwood Sq, Chantilly, VA 20152-2086 2020-11-02
1568069987 New Development Services LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4610 Milfax Rd, North Chesterfield, VA 23224-5604 2020-10-08
1114524766 Latoya Steward Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 805 Admiral Gravely Blvd, Richmond, VA 23231 2020-10-07
1780281808 Romco Enterprises, Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3409 Scott St, Portsmouth, VA 23707-4001 2020-10-01
1710596051 Dare To Dream Family Services, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2905 Steed Ct, Chesapeake, VA 23323-2843 2020-07-22
1780208660 Excel Family Services of Virginia, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1100 Hubbell Dr, Virginia Beach, VA 23454-5633 2020-06-05
1366064313 Monica Lotoria Ballou Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1345 N Main St, Danville, VA 24540-3721 2020-05-13
1790306934 Serenity Residential Servicess, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6225 Wilmington Dr, Burke, VA 22015-3828 2020-04-28
1407483316 Lighthouse Residential Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 5219 Summerleaf Dr, North Chesterfield, VA 23234-2817 2020-03-23
1457983538 Rokel Health Care Services LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 7905 Dassett Ct Apt 304, Annandale, VA 22003-4878 2020-02-06
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Competitor

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City PETERSBURG
Zip Code 23805

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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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