THREE RIVERS TREATMENT CENTER LLC (NPI# 1568827780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568827780 |
| Entity Type | Organization |
| Organization Name | THREE RIVERS TREATMENT CENTER LLC |
| Other Organization Name | THREE RIVERS TREATMENT CENTER |
| Practice Address |
231 Hickory Rd Kenbridge VA 23944-3503 |
| Mailing Address |
269 Medical Park Blvd Petersburg VA 23805-9337 |
| Practice Telephone | 4346761378 |
| Practice Fax Number | 8048634626 |
| Mailing Telephone | 8048610700 |
| Mailing Fax Number | 8048634626 |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |
| Authorized Official Name | MR. ANTHONY J VADELLA (MANAGING MEMBER) |
| Authorized Official Telephone | 8048610700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | VA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Three Rivers Treatment Center | Doing Business As Name - Organization |
| Street Address |
231 HICKORY RD |
| City | KENBRIDGE |
| State | VA |
| Zip Code | 23944-3503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972940880 | Mbhs of Kenbridge, LLC | Clinic/Center | 231 Hickory Rd, Kenbridge, VA 23944-3503 | 2013-05-31 |
| 1235607540 | William Ryan Mccoull | Counselor | 231 Hickory Rd, Kenbridge, VA 23944-3503 | 2018-11-05 |
| 1457767881 | Angela Charlene Moss | Registered Nurse | 231 Hickory Rd, Kenbridge, VA 23944-3503 | 2014-07-07 |
| 1821428699 | Kevin Witty | Registered Nurse | 231 Hickory Rd, Kenbridge, VA 23944-3503 | 2013-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568003853 | Brenda Boswell | Technician | 451 Tinkling Road, Kenbridge, VA 23944 | 2019-10-08 |
| 1679720254 | Family Preservation Services, Inc | Community/Behavioral Health | 215 Nottoway Falls Rd, Kenbridge, VA 23944 | 2008-08-26 |
| 1386775112 | Chris Buchanan | Pharmacist | 111 S. Broad St., Kenbridge, VA 23944 | 2007-03-07 |
| 1487746822 | William Irby Jr Dds PC | Dentist | 107 S. Broad St., Kenbridge, VA 23944 | 2006-09-29 |
| 1497705255 | Kenbridge Emergency Squad, Inc. | Ambulance | 915 East 5th Ave, Kenbridge, VA 23944 | 2006-05-11 |
| 1619961182 | Smiths Pharmacy & Home Health Care Center of Kenbridge Inc | Pharmacy | 111 S Broad Street, Kenbridge, VA 23944 | 2005-09-09 |
| 1467978700 | Shakita Crenshaw | Driver | 305 S Broad St, Kenbridge, VA 23944 | 2017-08-18 |
| 1831508597 | Rebecca Reitz | Pharmacist | 111 S Broad St., Kenbridge, VA 23944-0538 | 2014-08-07 |
| 1376659227 | Carroll Millard Gee Jr. | Dentist | 121 Flat Rock Rd., Kenbridge, VA 23944-0688 | 2006-08-22 |
| 1861019366 | Jodi L'heureux | Nurse Practitioner | 101 Hillcrest Ln, Kenbridge, VA 23944-2003 | 2020-06-30 |
| Find all providers in zip 23944 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
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|---|---|---|---|---|
| 1992322598 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 4700 Monterey Dr, Annandale, VA 22003-5927 | 2020-06-30 |
| 1003372780 | Monroe Operations, LLC | Psychiatric Residential Treatment Facility | 1620 Davidson Rd, Mc Lean, VA 22101-4304 | 2019-02-18 |
| 1093271777 | Monroe Operations, LLC | Psychiatric Residential Treatment Facility | 1622 Davidson Rd, Mc Lean, VA 22101-4304 | 2019-02-18 |
| 1841770849 | Monroe Operations, LLC | Psychiatric Residential Treatment Facility | 1624 Davidson Rd, Mc Lean, VA 22101-4304 | 2018-08-19 |
| 1275025694 | Strategic Healthcare of Virginia, Incorporated | Psychiatric Residential Treatment Facility | 468 Dryden Loop, Dryden, VA 24243 | 2018-06-01 |
| 1497283527 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 10416 Burke Lake Rd, Fairfax Station, VA 22039-1808 | 2017-06-02 |
| 1932635976 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 5949 Oakdale Rd, Mc Lean, VA 22101-3331 | 2017-05-11 |
| 1750823399 | Safe Haven Transitional Youth Services | Psychiatric Residential Treatment Facility | 3021 Macallan Pkwy, Henrico, VA 23231-7269 | 2016-11-14 |
| 1619324753 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 7809 Schelhorn Rd, Alexandria, VA 22306-2825 | 2016-05-18 |
| 1356722722 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 5343 Summit Dr, Fairfax, VA 22030-6523 | 2015-06-11 |
| 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.