Active NPI
Citagroup LLC
- Community/Behavioral Health Agency
- Chester, VA
National Provider Identifier
1447717079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CITAGROUP LLC
- Practice address
- 13355 Castlewellan Dr
Chester, VA 23836-2904 - Phone
- (804) 720-5164
- NPI assigned
- Mar 1, 2019
- 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
- Mr. Yinka Lawal
- Title
- MD
- Phone
- (804) 720-5164
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
13355 Castlewellan Dr
Chester, VA 23836-2904
Mailing address
13355 Castlewellan Dr
Chester, VA 23836-2904
Phone (804) 720-5164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174094759 | Medicaid | VA |
National Provider Directory
National Provider Directory- Tax ID family
- Citagroup LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Chester, VA
- NPI 1346935806
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Contractor
- Chester, VA
- NPI 1174094759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732579200000",
"number": "1447717079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13355 CASTLEWELLAN DR",
"city": "CHESTER",
"state": "VA",
"postal_code": "238362904",
"telephone_number": "804-720-5164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13355 CASTLEWELLAN DR",
"city": "CHESTER",
"state": "VA",
"postal_code": "238362904",
"telephone_number": "804-720-5164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITAGROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-01",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A",
"authorized_official_last_name": "LAWAL",
"authorized_official_first_name": "YINKA",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "804-720-5164",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174094759",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.