One of Our Own, LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

SS-358-07 Issued in VA

Legal business name

ONE OF OUR OWN, LLC

Practice address

3921 Montclair Rd
Richmond, VA 23223-1146

Phone

(804) 658-1506

Fax

(866) 217-8718

NPI assigned

Jul 1, 2007

Organization subpart

No

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

Authorized official

Name

Jawanda Smith

Title

Chief Administrative Officer

Phone

(804) 658-1506

Specialties & licenses 1

Addresses

Other names 1

• Visions in Action Other name

Locations

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

{
    "created_epoch": "1183248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619174786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 MECHANICSVILLE TPKE",
            "address_2": "SUITE 1111",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231117100",
            "telephone_number": "804-658-1506",
            "fax_number": "866-217-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 MONTCLAIR RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232231146",
            "telephone_number": "804-658-1506",
            "fax_number": "866-217-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE OF OUR OWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAWANDA",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "804-658-1506"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "VA",
            "license": "SS-358-07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visions in Action",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Richmond, VA
• Providers in Richmond, VA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.