Active NPI
Olivia'S Group Home Lonchmns, Inc.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Richmond, VA
National Provider Identifier
1194759100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 531
- Legal business name
- OLIVIA'S GROUP HOME LONCHMNS, INC.
- Doing business as
- Olivia's House LONCHMNS, Inc.
- Practice address
- 7501 Moss Side Ave
Richmond, VA 23227-1837 - Phone
- (804) 266-3897
- Fax
- (804) 264-1510
- NPI assigned
- Jul 10, 2006
- 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
- Ms. Lillian Jacqueline Mitchell, M. ED
- Title
- Chief Executive Officer
- Phone
- (804) 266-3897
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 531 | VA | Primary |
Addresses
Primary practice location
7501 Moss Side Ave
Richmond, VA 23227-1837
Mailing address
7501 Moss Side Ave
Richmond, VA 23227-1837
Phone (804) 266-3897
Other names 1
- Olivia's House LONCHMNS, Inc.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1194759100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7501 MOSS SIDE AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232271837",
"telephone_number": "804-266-3897",
"fax_number": "804-264-1510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 MOSS SIDE AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232271837",
"telephone_number": "804-266-3897",
"fax_number": "804-264-1510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLIVIA'S GROUP HOME LONCHMNS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "LILLIAN",
"authorized_official_middle_name": "JACQUELINE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "804-266-3897",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M. ED"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "VA",
"license": "531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Olivia's House LONCHMNS, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
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.