Organization Active NPI

Community Ventures Management

  • Mental Illness Community Based Residential Treatment Facility
  • Richmond, VA
National Provider Identifier
1902093453
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
COMMUNITY VENTURES MANAGEMENT
Practice address
8393 Cardova Cir
Richmond, VA 23227-1548
Phone
(410) 480-0019
Fax
(410) 313-8432
NPI assigned
Sep 28, 2007
Last updated
Sep 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Phillip Deberry Jr.
Title
Chief Administrative Officer
Phone
(410) 480-0019

Specialties & licenses 1

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

Addresses

Primary practice location

8393 Cardova Cir
Richmond, VA 23227-1548

Mailing address

PO Box 325
Woodstock, MD 21163-0325
Phone (410) 480-0019

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1902093453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211630325",
            "telephone_number": "410-480-0019",
            "fax_number": "410-313-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8393 CARDOVA CIR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271548",
            "telephone_number": "410-480-0019",
            "fax_number": "410-313-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY VENTURES MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "DEBERRY",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "410-480-0019",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 28, 2007; 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.