West Lake Residential Facility

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

0459 Issued in VA

Legal business name

WEST LAKE RESIDENTIAL FACILITY

Practice address

6946 Forest Hill Ave
Richmond, VA 23225-1606

Phone

(804) 560-9774

Fax

(804) 560-9776

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Jimmie Junior Pratt

Title

President

Phone

(804) 560-9774

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225178312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4506",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23112",
            "telephone_number": "804-560-9774",
            "fax_number": "804-560-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6946 FOREST HILL AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232251606",
            "telephone_number": "804-560-9774",
            "fax_number": "804-560-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LAKE RESIDENTIAL FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_middle_name": "JUNIOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-560-9774"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "0459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Janet West-Brown, MD
• Derrick Lee West, PHARMD
• Jason Morgan West, LPTA
• Josh West, MS, CEP
• Leigh A. West, M.S., PA-C

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Richmond, VA
• Providers in Richmond, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• 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.