Organization Active NPI

New Beginning Residential Services, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Glen Allen, VA
National Provider Identifier
1942533849
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
1167-01-001 Issued in VA
Legal business name
NEW BEGINNING RESIDENTIAL SERVICES, LLC
Practice address
9608 Honey Ter
Glen Allen, VA 23060-3298
Phone
(804) 651-6890
NPI assigned
Sep 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
Mr. Mory Bamba
Title
Ceo
Phone
(804) 651-6890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 1167-01-001 VA Primary

Addresses

Primary practice location

9608 Honey Ter
Glen Allen, VA 23060-3298

Mailing address

9608 Honey Ter
Glen Allen, VA 23060-3298
Phone (804) 651-6890

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1942533849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9608 HONEY TER",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603298",
            "telephone_number": "804-651-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9608 HONEY TER",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603298",
            "telephone_number": "804-651-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNING RESIDENTIAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "BAMBA",
        "authorized_official_first_name": "MORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-651-6890",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "1167-01-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.