NPIMap

Organization Active NPI

Virginia Home for Boys and Girls

  • Mental Illness Community Based Residential Treatment Facility
  • Richmond, VA
National Provider Identifier
1265677934
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
1438-14-001 Issued in VA
Legal business name
VIRGINIA HOME FOR BOYS AND GIRLS
Practice address
2250 Pump Rd
Richmond, VA 23233-3508
Phone
(804) 447-3527
Fax
(804) 447-3960
NPI assigned
Dec 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Authorized official

Name
Mr. John Burgett Dougherty, M.S.W.
Title
SVP/Chief Administrative Officer
Phone
(804) 270-6566

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X SS-78-07 VA
Mental Illness Community Based Residential Treatment Facility 320800000X 1438-14-001 VA Primary

Addresses

Primary practice location

2250 Pump Rd
Richmond, VA 23233-3508

Mailing address

8716 W Broad St
Richmond, VA 23294-6209
Phone (804) 270-6566

Other names 1

  • Virginia Home for Boys Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Virginia Home for Boys and Girls4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2250 Pump Rd
Richmond, VA 23233
Phone (804) 447-3527

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1265677934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8716 W BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232946209",
            "telephone_number": "804-270-6566",
            "fax_number": "804-934-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 PUMP RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232333508",
            "telephone_number": "804-447-3527",
            "fax_number": "804-447-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA HOME FOR BOYS AND GIRLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BURGETT",
        "authorized_official_title_or_position": "SVP/CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "804-270-6566",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": "SS-78-07",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": "1438-14-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Home for Boys",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 12, 2013; 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.