Sandy House, LLC

Primary specialty

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

Legal business name

SANDY HOUSE, LLC

Practice address

2317 Westwood Ave
Suite 209
Richmond, VA 23230-4007

Phone

(804) 523-7702

NPI assigned

Feb 19, 2008

Organization subpart

Yes

Parent organization

CENTRAL VIRGINIA FAMILY SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Ms. Aisha J Bullard

Title

Manager

Phone

(804) 523-7702

Specialties & licenses 1

Addresses

Part of

Strath House LLC

Locations

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1255509675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 WESTWOOD AVE",
            "address_2": "SUITE 209",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304007",
            "telephone_number": "804-523-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 WESTWOOD AVE",
            "address_2": "SUITE 209",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304007",
            "telephone_number": "804-523-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY HOUSE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VIRGINIA FAMILY SERVICES, LLC",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "BULLARD",
        "authorized_official_first_name": "AISHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "804-523-7702",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Carol Sandlin, L.AC, MSOM
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• Dharmeshbhai Ravjibhai Sanghani, M.D.

• 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 Feb 19, 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.