MITCHELL SPORTS PERFORMANCE (NPI# 1447615463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447615463 |
| Entity Type | Organization |
| Organization Name | MITCHELL SPORTS PERFORMANCE |
| Practice Address |
4209 W Hundred Rd Chester VA 23831-1734 |
| Practice Telephone | 8047175050 |
| Mailing Telephone | 8047175050 |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |
| Authorized Official Name | MR. ISAAC MITCHELL (OWNER) |
| Authorized Official Telephone | 8047175050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 1315286 | VA | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Mitchell Sports Performance LLC | 15808 Jefferson Davis Highway, Colonial Heights, Virginia 23834 |
| Street Address |
4209 W HUNDRED RD |
| City | CHESTER |
| State | VA |
| Zip Code | 23831-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262653 | Jeanne Spence | Dentist | 11846 Jefferson Davis Hwy, Chester, VA 23831 | 2020-10-12 |
| 1396358610 | Ronica Williams | Clinical Nurse Specialist | 12200 Ironbridge Road, Chester, VA 23831 | 2020-08-26 |
| 1891332466 | Blossom Health Services LLC | Home Health | 11312 Ludgate Place, Chester, VA 23831 | 2019-12-03 |
| 1780144881 | Positive Life Behavioral Health Services | Community/Behavioral Health | 3740 West Hundred Road, Chester, VA 23831 | 2019-03-23 |
| 1093201766 | Susan Wade | Speech-Language Pathologist | The Crossings At Ironbridge, 6701 Ironbridge Pkwy, Chester, VA 23831 | 2018-07-06 |
| 1225530793 | Rachel Victoria Mullins | Speech-Language Pathologist | 5200 Ecoff Ave, Chester, VA 23831 | 2018-03-01 |
| 1194196923 | Elpidia Victoria Elliott | Occupational Therapist | 10600 Hamlin Way, Chester, VA 23831 | 2015-10-20 |
| 1558751750 | Welcome Home Family Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3931 Hamlin Creek Court, Chester, VA 23831 | 2015-01-27 |
| 1083019525 | Shwetha Rodrigues Dds PC | Preferred Provider Organization | 12517 Jefferson Davis Highway, Chester, VA 23831 | 2014-10-27 |
| 1659781631 | Advanced Orthopaedic Centers | Orthopaedic Surgery | 12200 Branders Creek Drive, Chester, VA 23831 | 2014-04-30 |
| Find all providers in zip 23831 | ||||
| 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 |
|---|---|---|---|---|
| 1821658147 | Lerlena Jeannette Thomas | Day Training, Developmentally Disabled Services | 4613 Chester Square Rd, Chester, VA 23831-1726 | 2019-06-18 |
| 1336473610 | Bethel Residential Home LLC | Day Training, Developmentally Disabled Services | 14014 Lippingham Cir, Chester, VA 23831-6526 | 2009-09-19 |
| 1265662589 | Jerolin Management Services, LLC | Day Training, Developmentally Disabled Services | 9 W Hundred Rd, Chester, VA 23836-2501 | 2009-07-21 |
| 1063654234 | Jerolin Management Services, LLC | Day Training, Developmentally Disabled Services | 13293 Rivers Bend Blvd, Chester, VA 23836-8610 | 2009-04-02 |
| 1154574184 | Outreach Training and Support Services | Day Training, Developmentally Disabled Services | 610 W Hundred Rd Ste A, Chester, VA 23836-2519 | 2008-11-04 |
| 1780619320 | Jerolin Management Services, LLC | Day Training, Developmentally Disabled Services | 17 W Hundred Rd, Chester, VA 23836-2501 | 2006-07-12 |
| 1487081337 | Branches of Life | Day Training, Developmentally Disabled Services | 110 Old Bermuda Hundred Rd, Chester, VA 23836-5609 | 2013-10-07 |
| 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 |
| 1336755917 | Leap of Faith Adult Services LLC | Day Training, Developmentally Disabled Services | 528 Virginia Ave, Petersburg, VA 23803-5759 | 2020-09-19 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.