MENTAL WELLNESS RESIDENTIAL (NPI# 1427588227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427588227 |
| Entity Type | Organization |
| Organization Name | MENTAL WELLNESS RESIDENTIAL |
| Practice Address |
1420 Spruce Street Extrension Martinsville VA 24412 |
| Mailing Address |
Po Box 3628 Martinsville VA 24115-3628 |
| Practice Telephone | 2767903473 |
| Practice Fax Number | 2766322010 |
| Mailing Telephone | 9196977991 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |
| Authorized Official Name | MRS. VALERIE B UDOFIA (CEO) |
| Authorized Official Telephone | 9196977991 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| Street Address |
1420 SPRUCE STREET EXTRENSION |
| City | MARTINSVILLE |
| State | VA |
| Zip Code | 24412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811133085 | Family Preservation Services, Inc | Community/Behavioral Health | 280, Bacova, VA 24412 | 2008-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325191 | Second Chance, LLC | Clinic/Center | 315 Hospital Dr Ste 105, Martinsville, VA 24112-1927 | 2020-10-28 |
| 1336763390 | Julie A Drapalik | Pharmacist | 2415 Observatory Rd, Martinsville, IN 46151-7837 | 2020-06-04 |
| 1730701079 | Brandi Nicole Fritsche | Nurse Practitioner | 3175 Falcon Crest Dr, Martinsville, IN 46151-7088 | 2020-05-09 |
| 1063032852 | Gale J Waddle | Massage Therapist | 940 Plaza Dr, Martinsville, IN 46151-3237 | 2020-04-21 |
| 1184251597 | Jasmine Darnell Thompson | Student in an Organized Health Care Education/Training Program | 318 Sunset Ave, Martinsville, VA 24112-2941 | 2020-03-25 |
| 1952937666 | Melissa Wade | Home Health | 1605 Spruce Street Ext # C25, Martinsville, VA 24112-5817 | 2020-03-14 |
| 1134753387 | Glen Edward Hairston | Social Worker | 133 E Market St Ste 102, Martinsville, VA 24112-3740 | 2020-02-26 |
| 1831723246 | Alicia Pigg | Counselor | 300 Franklin St Ste 226, Martinsville, VA 24112-2163 | 2020-02-24 |
| 1669003703 | William Bradley Stowe | Non-emergency Medical Transport (VAN) | 1801 Preston Rd, Martinsville, VA 24112-7447 | 2020-01-28 |
| 1770123002 | Natasha Jones | Home Health | 11 Scuffle Hill St, Martinsville, VA 24112-2919 | 2020-01-15 |
| Find all providers in MARTINSVILLE | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497215461 | Pinnacle Community Services | Assisted Living Facility | 9001 Weems Rd, Manassas, VA 20110-4962 | 2019-03-25 |
| 1154847382 | Jeremy Scott Leach | Assisted Living Facility | 913 Bull Run, Staunton, VA 24401-1987 | 2017-08-18 |
| 1770003535 | Tiffanie Manor for Young Adults | Assisted Living Facility | 115 N Jefferson St, Richmond, VA 23220-5021 | 2017-06-22 |
| 1588018071 | Arlington Voa Alr Operating, Inc. | Assisted Living Facility | 2000 5th St S, Arlington, VA 22204-1902 | 2016-04-20 |
| 1629476650 | God's Missing Angel's LLC | Assisted Living Facility | 301 Croft Xing, Chesapeake, VA 23320-7006 | 2014-12-08 |
| 1699941294 | Living Waters - Timberville | Assisted Living Facility | 379 N Main St, Timberville, VA 22853-9319 | 2008-05-02 |
| 1518133115 | Living Waters Care of Staunton | Assisted Living Facility | 403 N Coalter St, Staunton, VA 24401-3464 | 2008-05-02 |
| 1154501534 | Kidspeace National Centers of North America, Inc. | Assisted Living Facility | 5100 Leesburg Pike, Suite 302, Alexandria, VA 22302-1000 | 2007-11-14 |
| 1881813517 | Smith's Home for Adults | Assisted Living Facility | 16069 Martinsville Hwy, Axton, VA 24054-1973 | 2007-04-24 |
| 1548879729 | The Ataveus Cash Legacy Foundation | Assisted Living Facility | 8527 Orcutt Ave, Newport News, VA 23605-1417 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSVILLE |
| Zip Code | 24412 |
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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.