Re-Creation Residential Group Home Services LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

RE-CREATION RESIDENTIAL GROUP HOME SERVICES LLC

Practice address

1303 Fillmore St
Portsmouth, VA 23704-6417

Phone

(215) 252-2996

Fax

(703) 563-2136

NPI assigned

Mar 6, 2026

Organization subpart

No

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

Authorized official

Name

Lavanda Flores

Title

Ceo

Phone

(215) 252-2996

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1215883897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 RIVERVIEW AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237041916",
            "telephone_number": "215-252-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 FILLMORE ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237046417",
            "telephone_number": "215-252-2996",
            "fax_number": "703-563-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE-CREATION RESIDENTIAL GROUP HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "LAVANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-252-2996"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.