MONICA LOTORIA BALLOU


Address: 1345 N Main St, Danville, VA 24540-3721
Phone: 4344292649

MONICA LOTORIA BALLOU (NPI# 1366064313) 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) 1366064313
Entity Type Individual
Full Name MONICA LOTORIA BALLOU
Practice Address 1345 N Main St
Danville
VA 24540-3721
Practice Telephone 4344292649
Mailing Telephone 4344292649
Enumeration Date 2020-05-13
Last Update Date 2020-05-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
1345 N Main St, Danville, VA 245403721 4344292649

Other Providers MONICA BALLOU

NPI Name Taxonomy Address Enumeration
1275855116 Monica Ballou Licensed Practical Nurse 99 Washington Ave, Suffern, NY 10901-6026 2010-02-19

Office Location

Street Address 1345 N MAIN ST
City DANVILLE
State VA
Zip Code 24540-3721

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922610088 Eagle Phoenix Residential & Behavorial Health Services LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1345 N Main St, Danville, VA 24540-3721 2020-08-20

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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
1134683881 River Ridge Community Living Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 7129 Old Richmond Rd, Danville, VA 24540-0217 2019-01-28
1851750038 A Greater Destiny, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 402 Melrose Dr, Danville, VA 24540-2212 2016-02-17
1508132747 Gary A Mcdaniel Jr. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3014 Hedrick Ct, Danville, VA 24540-1458 2012-03-30
1912020678 Johnnys Heroes Youth and Family Services, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1026 Main Street, Danville, VA 24541 2007-04-09
1902940562 Charlex Corp. Usa Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4110 Sugar Maple Dr, Danville, CA 94506-4639 2007-02-16
1922610088 Eagle Phoenix Residential & Behavorial Health Services LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1345 N Main St, Danville, VA 24540-3721 2020-08-20
1578193090 Lighted Pathway Danville, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 625 Piney Forest Rd Ste 307b, Danville, VA 24540-2869 2020-01-23
1154430007 Mt Sorrell Inc Dba The Arc of Southside Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 734 Main St, Danville, VA 24541-1819 2006-08-30

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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 DANVILLE
Zip Code 24540

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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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