Active NPI
New Beginning Residential Services, LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Glen Allen, VA
National Provider Identifier
1942533849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 1167-01-001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.