Active NPI
Rubicon, Inc
- Substance Abuse Rehabilitation Facility
- Richmond, VA
National Provider Identifier
1407934672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 16101033
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04944542 | Medicaid | VA |
National Provider Directory
National Provider Directory- Tax ID family
- Rubicon Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Richmond, VA
- NPI 1568544005
-
- Substance Abuse Rehabilitation Facility
- Richmond, VA
- NPI 1134294077
-
- Substance Abuse Rehabilitation Facility
- Richmond, VA
- NPI 1720325293
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.