Beulah'S House LLC

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · MC Kenney, VA

NPI 1619823044 · NPPES record last updated Mar 9, 2026

Key facts

NPI
1619823044
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Legal business name
BEULAH'S HOUSE LLC
Practice address
18521 Depot Rd
MC Kenney, VA 23872-2909
Phone
(804) 496-3193
NPI assigned
Mar 9, 2026
Organization subpart
No

Authorized official

Name
Ashley Charmaine Jones
Title
Program Manager
Phone
(804) 496-3193

Corporate family (same tax ID) 1

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

Practitioners 1

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

National Provider Directory

Tax ID family
Beulah'S House LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Yes

Addresses

Primary practice location

18521 Depot Rd
MC Kenney, VA 23872-2909

Mailing address

18521 Depot Rd
MC Kenney, VA 23872-2909

Other providers in MC Kenney, VA

All providers in MC Kenney, VA · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

Sources for this page

Verify at the official NPI Registry.