Organization Active NPI

Delta House LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Richmond, VA
National Provider Identifier
1700957883
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
DELTA HOUSE LLC
Practice address
1703 Harvard Rd
Richmond, VA 23226-3522
Phone
(804) 269-0915
Fax
(804) 269-3094
NPI assigned
Nov 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kateresea Lasha Ford
Title
Owner
Phone
(804) 269-0915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1703 Harvard Rd
Richmond, VA 23226-3522

Mailing address

2423 Lamb Ave
Richmond, VA 23222-4419
Phone (804) 269-0915

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700957883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 LAMB AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232224419",
            "telephone_number": "804-269-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 HARVARD RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263522",
            "telephone_number": "804-269-0915",
            "fax_number": "804-269-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "KATERESEA",
        "authorized_official_middle_name": "LASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-269-0915",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "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 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.