Organization Active NPI

Dana's Habitat, Inc..

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Richmond, VA
National Provider Identifier
1568575223
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
643-01-001 Issued in VA
Legal business name
DANA'S HABITAT, INC..
Practice address
10401 Duryea Dr
Richmond, VA 23235-1709
Phone
(804) 216-0906
Fax
(804) 249-6960
NPI assigned
Aug 16, 2006
Last updated
Sep 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Ms. Delores Constance Johnson, PRESIDENT
Title
Ceo
Phone
(804) 329-4600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 643-01-001 VA Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 64301001 VA

Addresses

Primary practice location

10401 Duryea Dr
Richmond, VA 23235-1709

Mailing address

2325 Thousand Oaks Dr
Dana's Habitat, Inc.
Richmond, VA 23294-3433
Phone (804) 901-9060

Other identifiers 1

IdentifierTypeStateIssuer
010066531MedicaidVA

Other names 1

  • Unique Lesson Learning Center Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1568575223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 THOUSAND OAKS DR",
            "address_2": "DANA'S HABITAT, INC.",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232943433",
            "telephone_number": "804-901-9060",
            "fax_number": "804-249-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 DURYEA DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351709",
            "telephone_number": "804-216-0906",
            "fax_number": "804-249-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA'S HABITAT, INC..",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DELORES",
        "authorized_official_middle_name": "CONSTANCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-329-4600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "643-01-001",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "64301001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010066531",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unique Lesson Learning Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 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.