Back 2 Basics, LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

SS376/4051-07 Issued in VA

Legal business name

BACK 2 BASICS, LLC

Practice address

3808 Candlegrove CT
Richmond, VA 23223-1440

Phone

(804) 228-2230

NPI assigned

Mar 24, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Shirletta Patrice Highsmith

Title

Owner/Program Director

Phone

(804) 326-9430

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1225200827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 CANDLEGROVE CT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232231440",
            "telephone_number": "804-228-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 CANDLEGROVE CT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232231440",
            "telephone_number": "804-228-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK 2 BASICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "HIGHSMITH",
        "authorized_official_first_name": "SHIRLETTA",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "OWNER/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "804-326-9430",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "VA",
            "license": "SS376/4051-07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Richmond, VA
• Providers in Richmond, 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 Jun 3, 2008; 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.