Organization Active NPI

SDCP Residential

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hayes, VA
National Provider Identifier
1285100396
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
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

Updated by the provider on Oct 16, 2018

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.