Ola Home for Boys, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

0021836400 Issued in VA

Legal business name

OLA HOME FOR BOYS, LLC

Practice address

1802 N 22ND St
Richmond, VA 23223-4434

Phone

(804) 343-5153

Fax

(804) 343-5153

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Keith Rodney Brooks

Title

Chief Administrative Officer

Phone

(804) 343-5153

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Faye R Barner, LPC

  • Mental Health Counselor
  • Richmond, VA
  • NPI 1063516052
  NPD (past)
• Angela Jean Simpson, LPC

  • Professional Counselor
  • Mechanicsville, VA
  • NPI 1710056551
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407939655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2074",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231160010",
            "telephone_number": "804-343-5153",
            "fax_number": "804-343-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N 22ND ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232234434",
            "telephone_number": "804-343-5153",
            "fax_number": "804-343-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLA HOME FOR BOYS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "RODNEY",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "804-343-5153",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": "0021836400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwadamilola Oke, MD
• Okida Smiles, LLC
• Chinelo J Okonkwo, PA-C
• Joachin Okonkwo Jr.
• Charles Ihechukwuturu Okorie, MD
• Mia Olavarria
• Mary E Olbrisch, PH.D.
• Old Dominion Home Health Services
• Old Dominion Home Health Services Inc
• Old Dominion Home Health Services Inc

• Mental Illness Community Based Residential Treatment Facility in Richmond, VA
• Providers in Richmond, 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 Aug 22, 2020; 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.