Organization Active NPI

Envisioned Behavioral Health Services, LLC

  • In Home Supportive Care Agency
  • Danville, VA
National Provider Identifier
1306639323
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ENVISIONED BEHAVIORAL HEALTH SERVICES, LLC
Practice address
661 Arnett Blvd # 110
Danville, VA 24540-2506
Phone
(434) 489-0004
NPI assigned
May 22, 2025
Last updated
May 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Anitria Henderson
Title
Owner
Phone
(434) 489-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

661 Arnett Blvd # 110
Danville, VA 24540-2506

Mailing address

661 Arnett Blvd # 110
Danville, VA 24540-2506
Phone (434) 489-0004

National Provider Directory

National Provider Directory

Locations

661 Arnett Blvd
#110
Danville, VA 24540
Phone (434) 489-0004

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1306639323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 ARNETT BLVD # 110",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245402506",
            "telephone_number": "434-489-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 ARNETT BLVD # 110",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245402506",
            "telephone_number": "434-489-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISIONED BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "ANITRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-489-0004"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.