Gifted Hands & Hearts Sponsored Residential Services LLC

Primary specialty

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

Legal business name

GIFTED HANDS & HEARTS SPONSORED RESIDENTIAL SERVICES LLC

Practice address

8014 Midlothian Tpke Ste 309
North Chesterfield, VA 23235-5291

Phone

(804) 967-4221

NPI assigned

Dec 9, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Hyla Blondell Johnson

Title

Ceo

Phone

(804) 967-4221

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1710583224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8014 MIDLOTHIAN TPKE STE 309",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355291",
            "telephone_number": "804-967-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8014 MIDLOTHIAN TPKE STE 309",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355291",
            "telephone_number": "804-967-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED HANDS & HEARTS SPONSORED RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "HYLA",
        "authorized_official_middle_name": "BLONDELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-967-4221",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3602-08-011",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guita Ghadiri, M.D.
• Jillian Giannelli, LCSW
• Jennifer Booker Gibbons, PT, DPT
• Lauren Ashley Gibbs, LPC
• Gay Lloyd Gibson, MSW
• Ashleigh Dai Gilbert, DPT
• Danielle A Gilbert, LCSW
• Allison Elizabeth Giles, D.O.
• Joanne Glanville, MD
• Robert Arthur Glasgow V, D.C.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Chesterfield, VA
• Providers in North Chesterfield, 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 Dec 9, 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.