Active NPI
Hargraves Outreach Inc.
- Developmentally Disabled Services Day Training Agency
- Richmond, VA
National Provider Identifier
1750837662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750837662 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
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.