Providence Community Service Llc

LBN: Providence Community Service Llc
Providence Community Service Llc is an health care organization with primary practice located at 7011 Egan Pl , Chesterfield VA 23832-8310. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Providence Community Service Llc can be contacted via phone (804) 674-1044, or through Edwards, John Thomas via phone (804) 674-1044.

Contact Information

Primary practice address
7011 Egan Pl Chesterfield VA 23832-8310
Phone: (804) 674-1044
Fax: (804) 674-1110
Website:
Map and Directions
Authorized official contact:
Name: Edwards, John Thomas
Phone: (804) 674-1044

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 225301001 Virginia

Profile Details

NPI number 1053706812
LBN Legal business name Providence Community Service Llc
DBA Doing business as
Authorized official Edwards, John Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2015
Last updated Mar 30th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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