Impact Youth Services, Llc in Chester - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Impact Youth Services, Llc - NPI 1285801928
Impact Youth Services, Llc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Chester, Virginia. Impact Youth Services, Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Impact Youth Services, Llc is 1285801928. The last update date is 2008-09-24.
Impact Youth Services, Llc's current location address is 14507 Glenmorgan Dr, Chester, Virginia. You can contact this provider via phone number 8043019624 and fax number 8044540243. The mailing address for Impact Youth Services, Llc is 14507 Glenmorgan Dr, Chester, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Impact Youth Services, Llc |
|---|---|
| Address | 14507 Glenmorgan Dr, Chester, Virginia |
| Phone Number | 8043019624 |
| Fax Number | 8044540243 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF ADMI |
|---|---|
| Authorized Official Name | Cadet Loureen Debbie |
| Credentials | PH. D |
| Telephone Number | 8043019624 |
NPI Number Detail
| NPI Number | 1285801928 |
|---|---|
| Provider Enumeration Date | 2008-05-12 |
| Last Updated Date | 2008-09-24 |
Provider Mailing Address Detail
| Address | 14507 Glenmorgan Dr |
|---|---|
| City | Chester |
| State | Virginia (VA) |
| Post Code | 238316638 |
| Phone Number | 8043019624 |
| Fax Number | 8044540243 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 88314001 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Impact Youth Services, Llc by the Centers for Medicare & Medicaid Services?
The Impact Youth Services, Llc has been issued the NPI (National Provider Identifier) 1285801928, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Impact Youth Services, Llc?
The Impact Youth Services, Llc is physically situated at 14507 Glenmorgan Dr, in the city of Chester, state of VA, with the postal code 238316638.
What is Impact Youth Services, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Impact Youth Services, Llc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320900000X.
When did the Impact Youth Services, Llc receive its 1285801928?
The Impact Youth Services, Llc was issued its 1285801928 on 2008-05-12, which is the date when the organization was assigned this unique identifier.
As of what date were the Impact Youth Services, Llc's details last updated?
The information pertaining to the Impact Youth Services, Llc, including its address, specialty, and other details, was most recently updated on 2008-09-24.