NPIMap

Organization Active NPI

His Service Center, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • North Chesterfield, VA
National Provider Identifier
1861096679
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
HIS SERVICE CENTER, LLC
Doing business as
His SERVICE Center, LLC
Practice address
4808 Chatham Grove PL
North Chesterfield, VA 23236-1159
Phone
(804) 433-8247
Fax
(804) 800-2271
NPI assigned
Nov 23, 2020
Last updated
Nov 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Authorized official

Name
Melanie Susane Jones, LCSW
Title
Clinical Director
Phone
(804) 433-8247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

4808 Chatham Grove PL
North Chesterfield, VA 23236-1159

Mailing address

4808 Chatham Grove PL
North Chesterfield, VA 23236-1159
Phone (804) 433-8247

Other names 1

  • His SERVICE Center, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1861096679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 CHATHAM GROVE PL",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232361159",
            "telephone_number": "804-433-8247",
            "fax_number": "804-800-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 CHATHAM GROVE PL",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232361159",
            "telephone_number": "804-433-8247",
            "fax_number": "804-800-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS SERVICE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "SUSANE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "804-433-8247",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "His SERVICE Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.