Organization Active NPI

Niya Supplies, LLC

  • Substance Abuse Rehabilitation Facility
  • Richmond, VA
National Provider Identifier
1043010945
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
NIYA SUPPLIES, LLC
Practice address
1262 Parkwood Ave
Richmond, VA 23220-5440
Phone
(919) 888-0654
NPI assigned
Mar 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Hania Mae Litaker
Title
Health Administrator
Phone
(919) 888-0654

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X
Substance Abuse Rehabilitation Facility 324500000X Primary
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

1262 Parkwood Ave
Richmond, VA 23220-5440

Mailing address

11357 Nucklos Rd PMB 191
Glen Allen, VA 23059
Phone (919) 888-0654

Other practice location 1

1264 Parkwood Ave
Richmond, VA 23220-5440
Phone (919) 888-0654

Other practice location 2

815 Porter St Apt 315
Richmond, VA 23224-2273
Phone (919) 888-0654

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1043010945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11357 NUCKLOS RD PMB 191",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "23059",
            "telephone_number": "919-888-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 PARKWOOD AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232205440",
            "telephone_number": "919-888-0654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1264 Parkwood Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232205440",
            "country_code": "US",
            "telephone_number": "919-888-0654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 Porter St Apt 315",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232242273",
            "country_code": "US",
            "telephone_number": "919-888-0654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NIYA SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "LITAKER",
        "authorized_official_first_name": "HANIA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "919-888-0654",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.