Organization Active NPI

Rise Residential Services

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Chesterfield, VA
National Provider Identifier
1811877574
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
RISE RESIDENTIAL SERVICES
Practice address
6411 Licking Creek Dr
Chesterfield, VA 23832-7435
Phone
(804) 918-0502
NPI assigned
Sep 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Elliott Fausz
Title
Adminitrator
Phone
(804) 405-5443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

6411 Licking Creek Dr
Chesterfield, VA 23832-7435

Mailing address

6411 Licking Creek Dr
Chesterfield, VA 23832-7435
Phone (804) 918-0502

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1811877574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 LICKING CREEK DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238327435",
            "telephone_number": "804-918-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 LICKING CREEK DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238327435",
            "telephone_number": "804-918-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "FAUSZ",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_title_or_position": "ADMINITRATOR",
        "authorized_official_telephone_number": "804-405-5443"
    },
    "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 Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.