Organization Active NPI

Lauralex, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Richmond, VA
National Provider Identifier
1992979363
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
991-01-001 Issued in VA
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

Updated by the provider on Jun 25, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
991MedicaidVA
991-01-001MedicaidVA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.