Active NPI
Grove House
- Mental Illness Community Based Residential Treatment Facility
- Richmond, VA
National Provider Identifier
1528292786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- GROVE HOUSE
- Practice address
- 6719 Irongate Dr
Richmond, VA 23234-2840 - Phone
- (804) 523-7702
- Fax
- (833) 383-5281
- NPI assigned
- May 4, 2009
- 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. Aisha J Bullard
- Title
- Owner
- Phone
- (804) 523-7702
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
6719 Irongate Dr
Richmond, VA 23234-2840
Mailing address
2317 Westwood Ave
Suite 209
Richmond, VA 23230-4007
Phone (804) 523-7702
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241395200000",
"number": "1528292786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2317 WESTWOOD AVE",
"address_2": "SUITE 209",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232304007",
"telephone_number": "804-523-7702",
"fax_number": "866-383-5281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6719 IRONGATE DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232342840",
"telephone_number": "804-523-7702",
"fax_number": "833-383-5281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROVE HOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-04",
"last_updated": "2009-05-04",
"status": "A",
"authorized_official_last_name": "BULLARD",
"authorized_official_first_name": "AISHA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "804-523-7702",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.