Organization Active NPI

Raspberry Hill Adult Daytime Center

  • Adult Day Care Clinic/Center
  • Forest, VA
National Provider Identifier
1063942290
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on Nov 22, 2022

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)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.