DOMINION YOUTH SERVICES (NPI# 1407993777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407993777 |
| Entity Type | Organization |
| Organization Name | DOMINION YOUTH SERVICES |
| Other Organization Name | DOMINION YOUTH SERVICES RESIDENTIAL LLC |
| Practice Address |
2419 Fon Du Lac Rd Richmond VA 23229 |
| Mailing Address |
Po Box 70296 Richmond VA 23255-0296 |
| Practice Telephone | 8044407074 |
| Practice Fax Number | 8044407075 |
| Mailing Telephone | 8042859838 |
| Mailing Fax Number | 8042859839 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GL PULLIAM JR. (DIRECTOR OF RESIDENTIAL) |
| Authorized Official Telephone | 8042859838 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 406-14-001 | VA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Dominion Youth Services Residential LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952562811 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 4802 Northridge Lane, Roanoke, VA 24019 | 2008-06-23 |
| 1811180458 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 7002 Dallas Rd, Roanoke, VA 24019-1510 | 2007-08-27 |
| 1245369750 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 2407 Dumbarton Rd, Richmond, VA 23228-5909 | 2007-03-02 |
| 1649317918 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 2504 Prestwick Circle, Richmond, VA 23294 | 2007-01-30 |
| 1548353246 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 8401 Mayland Drive, Suite C, Richmond, VA 23294 | 2006-10-02 |
| Street Address |
2419 FON DU LAC RD |
| City | RICHMOND |
| State | VA |
| Zip Code | 23229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487737086 | Thomas Faragher | Community Based Residential Treatment Facility, Mental Illness | 2419 Fon Du Lac Rd, Richmond, VA 23229-3323 | 2006-10-24 |
| 1831301324 | Kristen Yeom | Counselor | 2419 Fon Du Lac Rd, Richmond, VA 23229 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410044 | A&a Hearing Group, LLC | Audiologist-Hearing Aid Fitter | 7601 Forest Ave 311, Richmond, VA 23229 | 2019-08-01 |
| 1174041776 | Amanda Ashby Belding | Speech-Language Pathologist | 901 Maybeury Drive, Richmond, VA 23229 | 2017-09-03 |
| 1861919680 | Stewart Jones Ventures, Incorporated | In Home Supportive Care | 8003 Franklin Farms Dr Rm 113, Richmond, VA 23229 | 2017-08-23 |
| 1093180812 | Chiniqua L Jones | Nurse's Aide | 10 Vintage Dr., #c, Richmond, VA 23229 | 2015-12-04 |
| 1952774416 | Caremore Health Plan | Nurse Practitioner | 8935 Patterson Avenue, Richmond, VA 23229 | 2015-11-05 |
| 1245626894 | William Mauck | Orthopaedic Surgery | 224 Ross Road, Richmond, VA 23229 | 2015-04-10 |
| 1366846305 | Anne Brennan | Nurse Practitioner | 7607 Forest Avenue, Suite 300, Richmond, VA 23229 | 2014-10-20 |
| 1710305966 | Natalie M Dogal | Obstetrics & Gynecology | 7605 Forest Ave Ste 206, Richmond, VA 23229 | 2014-04-04 |
| 1083045405 | Joyce Campbell Wriston | Occupational Therapist | 1503 Michael's Road, Little Sisters of The Poor, Richmond, VA 23229 | 2013-12-11 |
| 1740535780 | Life Journeys Inc | Social Worker | 8413 A Patterson Avenue, Richmond, VA 23229 | 2012-07-16 |
| Find all providers in zip 23229 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487901 | River City Residential Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 2106 Hungary Rd, Richmond, VA 23228-2208 | 2020-04-27 |
| 1427419035 | Powerhouse Unlimited | Community Based Residential Treatment Facility, Mental Illness | 418 N 25th St, Apt 260, Richmond, VA 23223-7564 | 2016-03-09 |
| 1649524141 | A Plus Health Solutions LLC | Community Based Residential Treatment Facility, Mental Illness | 1803 N 28th St, Richmond, VA 23223-4505 | 2012-11-05 |
| 1578896171 | Rest Assured LLC | Community Based Residential Treatment Facility, Mental Illness | 3830 Monza Dr, Richmond, VA 23234-4214 | 2009-09-14 |
| 1508000753 | We Care Youth Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 2431 Hicks Rd, Richmond, VA 23235-5420 | 2009-04-30 |
| 1265677934 | Virginia Home for Boys and Girls | Community Based Residential Treatment Facility, Mental Illness | 2250 Pump Rd, Richmond, VA 23233-3508 | 2008-12-10 |
| 1386895258 | Generation X-cel Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 5024 Bryanbell Ln, Richmond, VA 23234-8004 | 2008-10-09 |
| 1487800744 | Dolls House | Community Based Residential Treatment Facility, Mental Illness | 108 Barker Ave, Richmond, VA 23223-3504 | 2008-08-18 |
| 1124286042 | Tomorrow's Promise | Community Based Residential Treatment Facility, Mental Illness | 4830 Steven Hill Dr, Richmond, VA 23234-8017 | 2008-05-28 |
| 1124295530 | Guiding Young Minds LLC | Community Based Residential Treatment Facility, Mental Illness | 526 Dabbs House Rd, Richmond, VA 23223-2604 | 2008-05-14 |
| Find all providers in RICHMOND | ||||
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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.