NPIMap

Organization Active NPI

Abraham Youth & Family Services

  • Non-emergency Medical Transport (VAN)
  • Richmond, VA
National Provider Identifier
1609260306
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
T67148173 Issued in VA
Legal business name
ABRAHAM YOUTH & FAMILY SERVICES
Practice address
1419 W Main St
Richmond, VA 23220-4629
Phone
(804) 675-9204
Fax
(804) 282-0040
NPI assigned
Mar 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Mr. Ancell Shaw Hamlin
Title
Ceo
Phone
(804) 955-8699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X T67148173 VA Primary

Addresses

Primary practice location

1419 W Main St
Richmond, VA 23220-4629

Mailing address

1510 Willow Lawn Dr
Richmond, VA 23230-3429
Phone (804) 675-9204

National Provider Directory

National Provider Directory
Tax ID family
Abraham Youth Family Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1419 W Main St
Richmond, VA 23220
Phone (804) 270-4068

NPI Registry JSON

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1609260306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 WILLOW LAWN DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303429",
            "telephone_number": "804-675-9204",
            "fax_number": "804-282-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 W MAIN ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204629",
            "telephone_number": "804-675-9204",
            "fax_number": "804-282-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRAHAM YOUTH & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "HAMLIN",
        "authorized_official_first_name": "ANCELL",
        "authorized_official_middle_name": "SHAW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-955-8699",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "T67148173",
            "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 Jan 19, 2021; 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.