NPIMap

Organization Active NPI

Envision One Cultivation & Enrichment Center, Corp

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jarratt, VA
National Provider Identifier
1912787151
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ENVISION ONE CULTIVATION & ENRICHMENT CENTER, CORP
Practice address
9436 Mayes St Ste 8
Jarratt, VA 23867-9108
Phone
(804) 519-6895
NPI assigned
Oct 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Mrs. Angela Parham-Jones, RNNPI 1003672957
Title
President/Ceo
Phone
(804) 519-6895

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

9436 Mayes St Ste 8
Jarratt, VA 23867-9108

Mailing address

PO Box 6
Yale, VA 23897-0006
Phone (804) 519-6895

National Provider Directory

National Provider Directory

Locations

9436 Mayes St
Ste 8
Jarratt, VA 23867
Phone (804) 519-6895

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1912787151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "city": "YALE",
            "state": "VA",
            "postal_code": "238970006",
            "telephone_number": "804-519-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9436 MAYES ST STE 8",
            "city": "JARRATT",
            "state": "VA",
            "postal_code": "238679108",
            "telephone_number": "804-519-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION ONE CULTIVATION & ENRICHMENT CENTER, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "PARHAM-JONES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "804-519-6895",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jarratt, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.