CORUM HUMAN SERVICES LLC (NPI# 1609286483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609286483 |
| Entity Type | Organization |
| Organization Name | CORUM HUMAN SERVICES LLC |
| Practice Address |
433 Lilys Way Winchester VA 22602-7686 |
| Mailing Address |
211 Farmington Blvd Winchester VA 22602-7648 |
| Practice Telephone | 5406623438 |
| Practice Fax Number | 5405421807 |
| Mailing Telephone | 5406623438 |
| Mailing Fax Number | 5405421807 |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |
| Authorized Official Name | MRS. PATRICIA ANN CORUM-KIDD (OWNER) |
| Authorized Official Telephone | 5406623438 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1712-01-001 | VA | Residential Treatment Facilities |
| Street Address |
433 LILYS WAY |
| City | WINCHESTER |
| State | VA |
| Zip Code | 22602-7686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740581693 | Corum Human Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 433 Lilys Way, Winchester, VA 22602-7686 | 2010-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689225534 | Tracey Lynn Graham | Nurse Practitioner | 202 Heath Ct, Winchester, VA 22602 | 2019-09-23 |
| 1104341197 | Ashley Grooms | Occupational Therapist | 183 Shields Dr, Winchester, VA 22602 | 2017-08-10 |
| 1275053183 | Im Just Me Movement | Local Education Agency (LEA) | 100 Asbury Ct, Winchester, VA 22602 | 2017-06-21 |
| 1750823043 | Crossroads Treatment Center of Winchester, PC | Community/Behavioral Health | 500 Pegasus Ct, Winchester, VA 22602 | 2016-11-17 |
| 1114399243 | Guardianlight of Northwestern Va Incorporated | Home Health | 3343 Valley Ave, Unit # 700, Winchester, VA 22602 | 2015-10-28 |
| 1679876171 | Medics Usa Medical Center | Clinic/Center | 290 Front Royal Pike, Winchester, VA 22602 | 2010-12-06 |
| 1679667216 | Rebecca Sue Isenhower | Psychologist | 174 Costello Drive, Winchester, VA 22602 | 2006-10-03 |
| 1548278310 | Brandon Terry Jennings | Pharmacist | 109 Lynnehaven Dr, Winchester, VA 22602 | 2006-08-04 |
| 1386690428 | Alla Yurievna Golovkina-hynes | Ophthalmology | 158 Front Royal Pike Ste 303, Winchester, VA 22602 | 2006-05-26 |
| 1174572283 | Abel C Borromeo V | Chiropractor | 125 Prosperity Dr, Suite 600, Winchester, VA 22602 | 2006-05-08 |
| Find all providers in zip 22602 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710905179 | Shenandoah Valley Community Residences, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20 E Piccadilly St, Suite 7, Winchester, VA 22601-4869 | 2006-07-17 |
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|---|---|---|---|---|
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| 1770196339 | Jilly Healthcare Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4145 Lenox Dr, Fairfax, VA 22032-1112 | 2020-08-24 |
| 1225640279 | Guardian Angels Homecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1116 Pin Oak Drive, Suffolk, VA 23434-2343 | 2020-08-20 |
| 1659993079 | Collaborative Community LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6000 Filbert Ct, Springfield, VA 22152-1609 | 2020-05-07 |
| 1356962252 | Intellectual Services Group, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4813 Integrity Ct, Fredericksburg, VA 22408-1891 | 2020-05-01 |
| 1699394346 | Peace of Mind Residential Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Pinehurst Ln, Stafford, VA 22554-7288 | 2020-04-13 |
| Find all providers with the same taxonomy | ||||
| City | WINCHESTER |
| Zip Code | 22602 |
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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.