Organization Active NPI

Rubicon, Inc

  • Substance Abuse Rehabilitation Facility
  • Richmond, VA
National Provider Identifier
1407934672
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
16101033 Issued in VA
Legal business name
RUBICON, INC
Practice address
2825 Rady St
Richmond, VA 23222-4097
Phone
(804) 767-6600
Fax
(804) 321-2997
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Mrs. Barbara J Thornhill
Title
Deputy Director
Phone
(804) 381-6307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 16101033 VA Primary

Addresses

Primary practice location

2825 Rady St
Richmond, VA 23222-4097

Mailing address

1300 Mactavish Ave
Richmond, VA 23230-4616
Phone (804) 359-3255

Other identifiers 1

IdentifierTypeStateIssuer
04944542MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Rubicon Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1300 Mactavish Ave
Richmond, VA 23230
Phone (804) 977-5900

2825 Rady St
Richmond, VA 23222
Phone (804) 767-6600

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1407934672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MACTAVISH AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304616",
            "telephone_number": "804-359-3255",
            "fax_number": "804-359-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 RADY ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232224097",
            "telephone_number": "804-767-6600",
            "fax_number": "804-321-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBICON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "THORNHILL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "804-381-6307",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "VA",
            "license": "16101033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04944542",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.