LEAP OF FAITH ADULT SERVICES LLC (NPI# 1336755917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336755917 |
| Entity Type | Organization |
| Organization Name | LEAP OF FAITH ADULT SERVICES LLC |
| Practice Address |
528 Virginia Ave Petersburg VA 23803-5759 |
| Mailing Address |
4409 Teal Cir North Dinwiddie VA 23803-6882 |
| Practice Telephone | 8046057883 |
| Mailing Telephone | 8049263744 |
| Enumeration Date | 2020-09-19 |
| Last Update Date | 2020-09-19 |
| Authorized Official Name | MRS. JESSICA WILLIAMS BOOKER (PROGRAM DIRECTOR/QDDP/OWNER) |
| Authorized Official Telephone | 8046057883 |
| Authorized Official Credential | RN,BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
528 VIRGINIA AVE |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23803-5759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523719 | Wise Journey Ltd | Home Health | 325-b Brown Street Suite 132, Petersburg, VA 23803 | 2019-08-14 |
| 1386101699 | Marliqua Barnes | Driver | 601 Carter St, Petersburg, VA 23803 | 2019-02-22 |
| 1356596571 | Quality Healthcare Inc | Community/Behavioral Health | 6111 Duncan Rd, Ste F, Petersburg, VA 23803 | 2008-12-02 |
| 1861614943 | Peoples Family Dental Care | Dentist | 1328 W Washington St, Petersburg, VA 23803 | 2007-05-02 |
| 1841333721 | Family Preservation Services, Inc | Community/Behavioral Health | 1000 Patterson Ave, Petersburg, VA 23803 | 2007-02-14 |
| 1154473155 | Progressive Adult Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 114 North Union Street, Suite B, Petersburg, VA 23803 | 2007-01-18 |
| 1861556615 | Evelyn V. Whitehead | Counselor | 115 E Wythe St, Petersburg, VA 23803 | 2006-12-19 |
| 1538248778 | Raymond Gibson Smith Jr. | Dentist | Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 | 2006-11-06 |
| 1396842282 | Eugene Arthur Richardson IIi | Dentist | 23 Shore Street, Petersburg, VA 23803 | 2006-09-20 |
| 1679594030 | Olumuyiwa Akinniyi Ojediran | Internal Medicine | 734 South Sycamore Street, Petersburg, VA 23803 | 2006-07-21 |
| Find all providers in zip 23803 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972718773 | Pike County Area Rehabilitation Centers Inc | Day Training, Developmentally Disabled Services | 705 E. Illinois St, Petersburg, IN 47567-9803 | 2007-05-14 |
| 1588877948 | Pike County Area Rehabilitation Centers Inc | Day Training, Developmentally Disabled Services | 705 E Illinois St, Petersburg, IN 47567-9803 | 2007-05-08 |
| 1568687077 | Denise Taylor | Day Training, Developmentally Disabled Services | 4505 Winterbourne Dr, Petersburg, VA 23803-1724 | 2007-04-17 |
| 1154473155 | Progressive Adult Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 114 North Union Street, Suite B, Petersburg, VA 23803 | 2007-01-18 |
| 1992714398 | Potomac Highlands Mental Health Guild, Inc. | Day Training, Developmentally Disabled Services | 6 Park St, Petersburg, WV 26847-1765 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043317 | Golgota Health Services Inc | Day Training, Developmentally Disabled Services | 4216 Evergreen Ln Ste 133, Annandale, VA 22003-3256 | 2020-11-05 |
| 1730794603 | Momentum 180 LLC | Day Training, Developmentally Disabled Services | 700 Mobjack Pl Ste 201, Newport News, VA 23606-1957 | 2020-09-09 |
| 1285243626 | The Arc of Harrisonburg and Rockingham Inc. | Day Training, Developmentally Disabled Services | 620 Simms Ave, Harrisonburg, VA 22802-4813 | 2020-07-30 |
| 1316565351 | Riverside Counseling and Consulting | Day Training, Developmentally Disabled Services | 4 S 1st St, Richmond, VA 23219-3717 | 2020-07-07 |
| 1578185807 | Artis Transitions Inc | Day Training, Developmentally Disabled Services | 217 W Beverley St, Staunton, VA 24401-4206 | 2020-05-08 |
| 1063046159 | Progressive Steps Family Services LLC | Day Training, Developmentally Disabled Services | 700 Lombardy Ave Apt 7413, Newport News, VA 23606-3368 | 2020-02-27 |
| 1629602891 | The Gates of Beautiful LLC | Day Training, Developmentally Disabled Services | 7839 Ashton Ave, Manassas, VA 20109-2883 | 2020-02-26 |
| 1386288041 | Azarel Community Support, LLC | Day Training, Developmentally Disabled Services | 112 Brandon Rd, Richmond, VA 23224-1212 | 2019-11-05 |
| 1831732312 | The Branch Community Group | Day Training, Developmentally Disabled Services | 24293 Lankford Highway, Tasley, VA 23441 | 2019-10-28 |
| 1700427739 | Hill Support Services, LLC. | Day Training, Developmentally Disabled Services | 1573 Oakland Chase Pkwy, Richmond, VA 23231-5745 | 2019-10-01 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 23803 |
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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.