Randolph & Davison Enterprises Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

RANDOLPH & DAVISON ENTERPRISES INC.

Practice address

6421 Belmont Rd
Chesterfield, VA 23832-8213

Phone

(804) 605-9845

Fax

(804) 895-7853

NPI assigned

Nov 14, 2023

Last updated

Nov 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nita Viann Randolph DavisonNPI 1174934921

Title

Ceo

Phone

(804) 605-9845

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nita Viann Randolph Davison

  • Community Health Worker
  • Petersburg, VA
  • NPI 1174934921
  NPD Authorized official

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1356115950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1889 S SYCAMORE ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052730",
            "telephone_number": "804-605-9845",
            "fax_number": "804-895-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 BELMONT RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238328213",
            "telephone_number": "804-605-9845",
            "fax_number": "804-895-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH & DAVISON ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "NITA",
        "authorized_official_middle_name": "VIANN RANDOLPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-605-9845"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quality Life Services LLC
• Ana Cruz Raika, DDS
• Sujatha G Ramamurthy, MD
• Ivan Pablo Ramirez Schiappapietra
• Deirdre Lynne Ramirez, MSN, RN
• Chantell Nicole Randolph
• Merinda Doreen Randolph, SERVICE FACIL
• Karen H Rapp, LPC
• Ray Kareem Rasheed
• Shantan Bhargav Redd Ravula, MD

• Mental Illness Community Based Residential Treatment Facility in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Mental Illness Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.