Active NPI
Raspberry Hill Adult Daytime Center
- Adult Day Care Clinic/Center
- Forest, VA
National Provider Identifier
1063942290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- RASPBERRY HILL ADULT DAYTIME CENTER
- Practice address
- 1381 Crossings Center Dr Ste a
Forest, VA 24551-4971 - Phone
- (434) 525-4422
- Fax
- (434) 534-3460
- NPI assigned
- Jun 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edward Archer, RN
- Title
- Owner/Director
- Phone
- (434) 525-4422
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001212629 | VA | |
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
1381 Crossings Center Dr Ste a
Forest, VA 24551-4971
Mailing address
1381 Crossings Center Dr Ste a
Forest, VA 24551-4971
Phone (434) 525-4422
National Provider Directory
National Provider DirectoryLocations
1381 Crossings Center Dr
Ste A
Forest, VA 24551
Phone (434) 525-4422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669075200000",
"number": "1063942290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1381 CROSSINGS CENTER DR STE A",
"city": "FOREST",
"state": "VA",
"postal_code": "245514971",
"telephone_number": "434-525-4422",
"fax_number": "434-534-3460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1381 CROSSINGS CENTER DR STE A",
"city": "FOREST",
"state": "VA",
"postal_code": "245514971",
"telephone_number": "434-525-4422",
"fax_number": "434-534-3460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RASPBERRY HILL ADULT DAYTIME CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-20",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A",
"authorized_official_last_name": "ARCHER",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "434-525-4422",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001212629",
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.