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RAVEN'S NEST LLC
NPI 1053721381
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Chase City, VA

Active since May 08, 2014
1247 FORT MITCHELL DR, CHASE CITY, VA 23924(434) 738-8493 Get Directions Write a Review

NPPES record last updated: May 8, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Raven's Nest Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVEN'S NEST LLC (NPI 1053721381) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Chase City, Virginia and active in the NPI registry since May 2014. The organization lists Raven Jackson, Director, as its authorized official.

NPPES Registry Identity

NPI1053721381
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameRAVEN'S NEST LLC
Location Address1247 FORT MITCHELL DRChase City, VA 23924-5340
Mailing Address1247 Fort Mitchell DrChase City, VA 23924-5340 · (434) 738-8493
Phone(434) 738-8493
Organization SubpartNo
Authorized OfficialRaven JacksonDirector · (434) 210-0343
Enumeration DateMay 8, 2014
✔ NPI 1053721381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in VA · 2181
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1247 FORT MITCHELL DR, Chase City, VA 23924
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raven's Nest LLC's NPI number?

The NPI number for Raven's Nest LLC is 1053721381. It was assigned to this organization in the NPPES registry on May 8, 2014.

Where is Raven's Nest LLC located?

Raven's Nest LLC is located at 1247 Fort Mitchell Dr, Chase City, VA 23924. The listed phone number is (434) 738-8493.

What is Raven's Nest LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Raven's Nest LLC was last updated on May 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.