Active NPI
Dana's Habitat, Inc..
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Richmond, VA
National Provider Identifier
1568575223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 643-01-001
- 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, 2008
- 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
- Ms. Delores Constance Johnson, PRESIDENT
- Title
- Ceo
- Phone
- (804) 329-4600
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010066531 | Medicaid | VA |
Other names 1
- Unique Lesson Learning Center
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Continuing Education/Staff Development Registered Nurse
- Richmond, VA
- NPI 1326475310
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.