Gemini Transitional Homes, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

GEMINI TRANSITIONAL HOMES, LLC

Practice address

1803 Old Williamsburg Rd
Sandston, VA 23150-1815

Phone

(804) 295-4569

NPI assigned

Jan 25, 2025

Organization subpart

No

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

Authorized official

Name

Tiffany Brandy Kim

Title

Ceo

Phone

(804) 295-4569

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1737763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737763200000",
    "number": "1366254369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 OLD WILLIAMSBURG RD",
            "city": "SANDSTON",
            "state": "VA",
            "postal_code": "231501815",
            "telephone_number": "804-295-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 OLD WILLIAMSBURG RD",
            "city": "SANDSTON",
            "state": "VA",
            "postal_code": "231501815",
            "telephone_number": "804-295-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMINI TRANSITIONAL HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-25",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "BRANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-295-4569"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.