Ricmolraw1, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

RICMOLRAW1, LLC

Practice address

946 Shore Dr
Newport News, VA 23607-6435

Phone

(757) 619-3276

NPI assigned

Mar 8, 2019

Organization subpart

No

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

Authorized official

Name

Milton RawlesNPI 1659193654

Title

Owner

Phone

(757) 619-3276

Specialties & licenses 1

Addresses

Tax ID family

Ricmolraw1 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Ricmolraw1, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Chesapeake, VA
  • NPI 1740002757
  NPD tax ID

Practitioners 1

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

• Milton Rawles

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Chesapeake, VA
  • NPI 1659193654

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1710445671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 WELSH DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234566931",
            "telephone_number": "757-619-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 SHORE DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236076435",
            "telephone_number": "757-619-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICMOLRAW1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "RAWLES",
        "authorized_official_first_name": "MILTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-619-3276"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Newport News, VA
• Providers in Newport News, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.