CIVITAS HEALTH SERVICES, INC.
NPI 1366727984
Community/Behavioral Health in Richmond, VA
NPI Status: Active since October 14, 2011
Contact Information
5663 S LABURNUM AVE
RICHMOND, VA
ZIP 23231
Phone: (804) 737-3917
Fax: (804) 737-3940
- Organization
- Community/Behavioral Health
- CLIA Number: 49D2151433
- CLIA Cert. Type: Other - SUBS ABUSE INTENSIVE OUTP
- CLIA Exp. Date: 07-17-2026
About CIVITAS HEALTH SERVICES, INC.
This page provides the complete NPI Profile along with additional information for Civitas Health Services, Inc., a provider established in Richmond, Virginia operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1366727984 assigned on October 2011. The practitioner's primary taxonomy code is 251S00000X with license number 1588 (VA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mr. Lemar Bowers (Chief Executive Officer)
- NPI
- 1366727984
- Provider Name
- CIVITAS HEALTH SERVICES, INC.
- Entity Type
- Organization
- Location Address
- 5663 S LABURNUM AVE RICHMOND, VA 23231
- Location Phone
- (804) 737-3917
- Location Fax
- (804) 737-3940
- Mailing Address
- 5663 S LABURNUM AVE RICHMOND, VA 23231
- Mailing Phone
- (804) 737-3917
- Mailing Fax
- (804) 737-3940
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-14-2011
- Last Update Date
- 07-21-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- 1588
- License State
- VA
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D2151433
- Facility Type
- Other - SUBS ABUSE INTENSIVE OUTP
- Certificate Effective Date
- July 18, 2024
- Certificate Expiration Date
- July 17, 2026
- Laboratory Director
- RYAN M. ANDERSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Civitas Health Services, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 3 | 6 | 6 | 7 | 2 | 7 | 9 | 8 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 12 | 6 | 14 | 2 | 14 | 9 | 16 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 1 + 2 + 6 + 1 + 4 + 2 + 1 + 4 + 9 + 1 + 6 + 24 = 66 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 66 = 4 | 4 |
The NPI number 1366727984 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
JETUANE WHITE
Behavior Technician
5663 S LABURNUM AVE
HENRICO, VA
ZIP 23231
ELENA CHAPLIN
Behavior Technician
5663 S LABURNUM AVE
RICHMOND, VA
ZIP 23231
LATICIA D. TUCKER
Behavior Technician
5663 S LABURNUM AVE
HENRICO, VA
ZIP 23231
TAMIKA MOORE
Counselor
(Mental Health)
5663 S LABURNUM AVE
RICHMOND, VA
ZIP 23231
ROBERT LEO OLSON
Behavior Technician
5663 S LABURNUM AVE
HENRICO, VA
ZIP 23231
SHANNA MARIE HALL
Behavior Technician
5663 S LABURNUM AVE
HENRICO, VA
ZIP 23231
TANYA GARNER RBT
Behavior Technician
5663 S LABURNUM AVE
RICHMOND, VA
ZIP 23231
BENJAMIN FRANKLIN KNOPP BSW, RBT
Behavior Technician
5663 S LABURNUM AVE
RICHMOND, VA
ZIP 23231
KIMBERLY GARDNER MCLEOD RBT, MSW
Behavior Technician
5663 S LABURNUM AVE
RICHMOND, VA
ZIP 23231
SABRINA MORGAN JORDAN
Behavior Analyst
5663 S LABURNUM AVE
RICHMOND, VA
ZIP 23231
WILLIAM R. MUNDIE RBT
Behavior Technician
5663 S LABURNUM AVE
RICHMOND, VA
ZIP 23231
KAITLYN LUNA
Behavior Analyst
5663 S LABURNUM AVE
HENRICO, VA
ZIP 23231
TRACY CAMPBELL DAVIS
Behavior Technician
5663 S LABURNUM AVE
RICHMOND, VA
ZIP 23231
SONJA AYERS
Behavior Technician
5663 S LABURNUM AVE
RICHMOND, VA
ZIP 23231
WHITNEY EVANS GOOCH LPC
Counselor
(Professional)
5663 S LABURNUM AVE
RICHMOND, VA
ZIP 23231
SEAN BASKERVILLE
Behavior Technician
5663 S LABURNUM AVE
RICHMOND, VA
ZIP 23231
LAURA DANIAL
Behavior Technician
5663 S LABURNUM AVE
HENRICO, VA
ZIP 23231
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366727984, enumerated as an "organization" on October 14, 2011.
The provider is located at 5663 S LABURNUM AVE RICHMOND, VA 23231 and the phone number is (804) 737-3917.
Community/Behavioral Health with taxonomy code 251S00000X.