Active NPI
SDCP Residential
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Hayes, VA
National Provider Identifier
1285100396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- SDCP RESIDENTIAL
- Practice address
- 3069 George Washington Memorial Hwy
Hayes, VA 23072-3300 - Phone
- (757) 504-5270
- Fax
- (804) 684-5973
- NPI assigned
- Oct 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara McClain
- Title
- Ceo
- Phone
- (757) 504-5270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
3069 George Washington Memorial Hwy
Hayes, VA 23072-3300
Mailing address
3069 George Washington Memorial Hwy
Hayes, VA 23072-3300
Phone (757) 504-5270
National Provider Directory
National Provider DirectoryLocations
3069 George Washington Memorial Hwy
Hayes, VA 23072
Phone (757) 504-5270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539648000000",
"number": "1285100396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3069 GEORGE WASHINGTON MEMORIAL HWY",
"city": "HAYES",
"state": "VA",
"postal_code": "230723300",
"telephone_number": "757-504-5270",
"fax_number": "804-684-5973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3069 GEORGE WASHINGTON MEMORIAL HWY",
"city": "HAYES",
"state": "VA",
"postal_code": "230723300",
"telephone_number": "757-504-5270",
"fax_number": "804-684-5973"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SDCP RESIDENTIAL",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-16",
"last_updated": "2018-10-16",
"status": "A",
"authorized_official_last_name": "MCCLAIN",
"authorized_official_first_name": "SARA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "757-504-5270"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hayes, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.