Organization Active NPI

Hargraves Outreach Inc.

  • Developmentally Disabled Services Day Training Agency
  • Richmond, VA
National Provider Identifier
1750837662
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
HARGRAVES OUTREACH INC.
Practice address
6802 Paragon PL Ste 410
Richmond, VA 23230-1655
Phone
(919) 358-3730
Fax
(844) 892-9261
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Authorized official

Name
Mr. Alan Hargraves, CESP, CSAC-I
Title
Executive Director
Phone
(919) 358-3730

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Voluntary or Charitable Agency 251V00000X
Private Vehicle 347C00000X

Addresses

Primary practice location

6802 Paragon PL Ste 410
Richmond, VA 23230-1655

Mailing address

5020 Robinwood Rd
Durham, NC 27713-1634
Phone (919) 358-3730

Other practice location 1

625 Piney Forest Rd Ste 307
Danville, VA 24540-2869
Phone (919) 358-3730

Other identifiers 1

IdentifierTypeStateIssuer
1750837662MedicaidVA

National Provider Directory

National Provider Directory

Locations

625 Piney Forest Rd
Ste 307
Danville, VA 24540
Phone (919) 358-3730

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1750837662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 ROBINWOOD RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131634",
            "telephone_number": "919-358-3730",
            "fax_number": "844-892-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 PARAGON PL STE 410",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301655",
            "telephone_number": "919-358-3730",
            "fax_number": "844-892-9261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Piney Forest Rd Ste 307",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245402869",
            "country_code": "US",
            "telephone_number": "919-358-3730",
            "fax_number": "844-892-9261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HARGRAVES OUTREACH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "HARGRAVES",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-358-3730",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CESP, CSAC-I"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750837662",
            "state": "VA"
        }
    ],
    "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 Apr 23, 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.