Middleton Gee Community Group Home, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

1437-01-001 Issued in VA

Legal business name

MIDDLETON GEE COMMUNITY GROUP HOME, LLC

Practice address

1634 Hungary Rd
Richmond, VA 23228-2314

Phone

(804) 377-8440

NPI assigned

Sep 28, 2010

Last updated

Sep 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Betty D Lewis

Title

Program Director

Phone

(804) 377-8440

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1790094597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 HUNGARY RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232282314",
            "telephone_number": "804-377-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 HUNGARY RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232282314",
            "telephone_number": "804-377-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETON GEE COMMUNITY GROUP HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "804-377-8440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "1437-01-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley A Mickleberry
• Mid Atlantic Laboratory Services, LLC (Midalabs)
• Mid Atlantic Vascular Holding, LLC
• Mid-Atlantic Kidney Center (Mid-Atlantic Kidney Centers)
• Midatlantic Spine Specialists P C
• Angela D Middleton, M.D.
• Kimberly Rhea Middleton, M.D.
• Andrew Clay Midkiff, DPT
• Daniel David Midkiff, DPT
• Nathalie Midkiff

• Developmentally Disabled Services Day Training Agency in Richmond, VA
• Providers in Richmond, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.