NPIMap

Organization Active NPI

Youth Diversity Coalition, L.L.C.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Richmond, VA
National Provider Identifier
1154448496
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
S8-04-20 Issued in VA
Legal business name
YOUTH DIVERSITY COALITION, L.L.C.
Practice address
2916 Valley Side Ter
Richmond, VA 23223-1163
Phone
(804) 228-3729
Fax
(804) 228-1843
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deborah Fisher
Title
C.a.O
Phone
(804) 228-3729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X S8-04-20 VA Primary

Addresses

Primary practice location

2916 Valley Side Ter
Richmond, VA 23223-1163

Mailing address

8025 Hillcreek Dr
Midlothian, VA 23112-6847
Phone (804) 833-6053

National Provider Directory

National Provider Directory
Tax ID family
Youth Diversity Coalition LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154448496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 HILLCREEK DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231126847",
            "telephone_number": "804-833-6053",
            "fax_number": "804-639-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 VALLEY SIDE TER",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232231163",
            "telephone_number": "804-228-3729",
            "fax_number": "804-228-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH DIVERSITY COALITION, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "C.A.O",
        "authorized_official_telephone_number": "804-228-3729"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "S8-04-20",
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.