Individual provider Active NPI

Justus Gichaba

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Richmond, VA
National Provider Identifier
1174427579
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Practice address
9211 Forest Hill Ave Ste 206
Richmond, VA 23235-6877
Phone
(678) 371-2657
Fax
(703) 763-1763
NPI assigned
Oct 7, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

9211 Forest Hill Ave Ste 206
Richmond, VA 23235-6877

Mailing address

15320 Wits End Dr
Woodbridge, VA 22193-5889
Phone (678) 371-2657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1174427579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15320 WITS END DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935889",
            "telephone_number": "678-371-2657",
            "fax_number": "703-763-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 FOREST HILL AVE STE 206",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232356877",
            "telephone_number": "678-371-2657",
            "fax_number": "703-763-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GICHABA",
        "first_name": "JUSTUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "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 Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.