Active NPI
Jade's Healing Grove
- Clinic/Center
- Midlothian, VA
National Provider Identifier
1093624819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- JADE'S HEALING GROVE
- Practice address
- 2021 Walmart Way Ste 14
Midlothian, VA 23113-2641 - Phone
- (804) 921-4611
- NPI assigned
- Sep 7, 2026
- 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
- Courtney Jade Beasley
- Title
- Owner
- Phone
- (180) 000-0000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
2021 Walmart Way Ste 14
Midlothian, VA 23113-2641
Mailing address
2741 Winterbrook CT
Powhatan, VA 23139-7838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789603200000",
"number": "1093624819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2741 WINTERBROOK CT",
"city": "POWHATAN",
"state": "VA",
"postal_code": "231397838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 WALMART WAY STE 14",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231132641",
"telephone_number": "804-921-4611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JADE'S HEALING GROVE",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-07",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A",
"authorized_official_last_name": "BEASLEY",
"authorized_official_first_name": "COURTNEY",
"authorized_official_middle_name": "JADE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "180-000-0000"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.