Safe Space Residential LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SAFE SPACE RESIDENTIAL LLC

Practice address

3453 W Hundred Rd
Chester, VA 23831-2118

Phone

(804) 504-1093

Fax

(804) 655-6182

NPI assigned

Feb 9, 2024

Organization subpart

No

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

Authorized official

Name

Roger GravesNPI 1578327623

Title

Ceo

Phone

(804) 504-1093

Specialties & licenses 3

Addresses

Practitioners 1

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

• Roger Clayton Graves

  • Mental Health Counselor
  • Glen Allen, VA
  • NPI 1578327623
  NPD Authorized official

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789171200000",
    "number": "1588428635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3453 W HUNDRED RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238312118",
            "telephone_number": "804-504-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3453 W HUNDRED RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238312118",
            "telephone_number": "804-504-1093",
            "fax_number": "804-655-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE SPACE RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-504-1093"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rush
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• Karen Saakyan, DDS
• Sabrinas Nurse Practitioner Services LLC
• Michelle Hicklin Sams, PHARMD
• Sandbox Behavior Solutions, PLLC
• Nicole B Sandridge, DPT
• Hanna Marie Sanford, FNP
• Sarah Anne Sheltering Arms

• Mental Illness Community Based Residential Treatment Facility in Chester, VA
• Providers in Chester, 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 Sep 12, 2026; 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.