NPIMap

Organization Active NPI

New Beginnings Supportive Services, LLC

  • Psychiatric Residential Treatment Facility
  • North Chesterfield, VA
National Provider Identifier
1063110914
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
NEW BEGINNINGS SUPPORTIVE SERVICES, LLC
Practice address
6449 Bareback Ter
North Chesterfield, VA 23234-4196
Phone
(804) 479-1677
NPI assigned
Feb 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Fayeshon Davidson
Title
Director of Services
Phone
(804) 479-1677

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

6449 Bareback Ter
North Chesterfield, VA 23234-4196

Mailing address

6449 Bareback Ter
North Chesterfield, VA 23234-4196
Phone (804) 479-1677

National Provider Directory

National Provider Directory
Tax ID family
New Beginnings Supportive Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1063110914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6449 BAREBACK TER",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232344196",
            "telephone_number": "804-479-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6449 BAREBACK TER",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232344196",
            "telephone_number": "804-479-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS SUPPORTIVE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "FAYESHON",
        "authorized_official_title_or_position": "DIRECTOR OF SERVICES",
        "authorized_official_telephone_number": "804-479-1677"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.