Active NPI
Lauralex, LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Richmond, VA
National Provider Identifier
1992979363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 991-01-001
- Legal business name
- LAURALEX, LLC
- Practice address
- 12516 River Rd
Richmond, VA 23238-6135 - Phone
- (804) 358-9300
- NPI assigned
- Apr 16, 2008
- 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. Aljanon Wills
- Title
- Director
- Phone
- (804) 358-9300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 991-01-001 | VA | Primary |
Addresses
Primary practice location
12516 River Rd
Richmond, VA 23238-6135
Mailing address
12516 River Rd
Richmond, VA 23238-6135
Phone (804) 358-9300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 991 | Medicaid | VA | |
| 991-01-001 | Medicaid | VA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1992979363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12516 RIVER RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232386135",
"telephone_number": "804-358-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12516 RIVER RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232386135",
"telephone_number": "804-358-9300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURALEX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-16",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "WILLS",
"authorized_official_first_name": "ALJANON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "804-358-9300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "VA",
"license": "991-01-001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "991",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "991-01-001",
"state": "VA"
}
],
"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 Jun 25, 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.