NPIMap

Organization Active NPI

From the Ground Up Youth Services LLC

  • Community/Behavioral Health Agency
  • Richmond, VA
National Provider Identifier
1972773133
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1168 Issued in VA
Legal business name
FROM THE GROUND UP YOUTH SERVICES LLC
Practice address
9510 Stockbridge Dr
Richmond, VA 23228-1223
Phone
(804) 503-0466
Fax
(804) 440-0727
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Ms. Janine Keyuni Jackson
Title
Director
Phone
(804) 503-0466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1168 VA Primary

Addresses

Primary practice location

9510 Stockbridge Dr
Richmond, VA 23228-1223

Mailing address

9510 Stockbridge Dr
Richmond, VA 23228-1223

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1972773133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 STOCKBRIDGE DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232281223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 STOCKBRIDGE DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232281223",
            "telephone_number": "804-503-0466",
            "fax_number": "804-440-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROM THE GROUND UP YOUTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JANINE",
        "authorized_official_middle_name": "KEYUNI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-503-0466",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1168",
            "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 Mar 4, 2008; 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.