Active NPI
Renewed Living Homes LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- South Chesterfield, VA
National Provider Identifier
1770127896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- RENEWED LIVING HOMES LLC
- Practice address
- 20208 Stonewood Manor Dr
South Chesterfield, VA 23803-1780 - Phone
- (804) 307-0497
- NPI assigned
- Oct 31, 2019
- 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. Aaron Lindsay Knight, MS
- Title
- Chief Executive Officer
- Phone
- (804) 307-0497
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
20208 Stonewood Manor Dr
South Chesterfield, VA 23803-1780
Mailing address
123 S Adams St
Petersburg, VA 23803-4526
Phone (804) 307-0497
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572480000000",
"number": "1770127896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 S ADAMS ST",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238034526",
"telephone_number": "804-307-0497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20208 STONEWOOD MANOR DR",
"city": "SOUTH CHESTERFIELD",
"state": "VA",
"postal_code": "238031780",
"telephone_number": "804-307-0497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEWED LIVING HOMES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-31",
"last_updated": "2019-10-31",
"status": "A",
"authorized_official_last_name": "KNIGHT",
"authorized_official_first_name": "AARON",
"authorized_official_middle_name": "LINDSAY",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "804-307-0497",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.