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

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  • 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
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. LEMAR BOWERS

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(804) 737-3917

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.

Reviews for CIVITAS HEALTH SERVICES, INC.

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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.
1366727984
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2312614214916
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 = 44

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

(804) 737-3917

ELENA CHAPLIN

Behavior Technician

5663 S LABURNUM AVE
RICHMOND, VA
ZIP 23231

(804) 737-3917

LATICIA D. TUCKER

Behavior Technician

5663 S LABURNUM AVE
HENRICO, VA
ZIP 23231

(804) 737-3917

TAMIKA MOORE

Counselor

(Mental Health)

5663 S LABURNUM AVE
RICHMOND, VA
ZIP 23231

(804) 737-3917

ROBERT LEO OLSON

Behavior Technician

5663 S LABURNUM AVE
HENRICO, VA
ZIP 23231

(240) 478-5079

SHANNA MARIE HALL

Behavior Technician

5663 S LABURNUM AVE
HENRICO, VA
ZIP 23231

(804) 737-3917

TANYA GARNER RBT

Behavior Technician

5663 S LABURNUM AVE
RICHMOND, VA
ZIP 23231

(804) 737-3917

BENJAMIN FRANKLIN KNOPP BSW, RBT

Behavior Technician

5663 S LABURNUM AVE
RICHMOND, VA
ZIP 23231

(804) 737-3917

KIMBERLY GARDNER MCLEOD RBT, MSW

Behavior Technician

5663 S LABURNUM AVE
RICHMOND, VA
ZIP 23231

(804) 737-3917

SABRINA MORGAN JORDAN

Behavior Analyst

5663 S LABURNUM AVE
RICHMOND, VA
ZIP 23231

(804) 737-3917

WILLIAM R. MUNDIE RBT

Behavior Technician

5663 S LABURNUM AVE
RICHMOND, VA
ZIP 23231

(804) 955-0413

KAITLYN LUNA

Behavior Analyst

5663 S LABURNUM AVE
HENRICO, VA
ZIP 23231

(804) 737-3917

TRACY CAMPBELL DAVIS

Behavior Technician

5663 S LABURNUM AVE
RICHMOND, VA
ZIP 23231

(804) 737-3917

SONJA AYERS

Behavior Technician

5663 S LABURNUM AVE
RICHMOND, VA
ZIP 23231

(804) 737-3917

WHITNEY EVANS GOOCH LPC

Counselor

(Professional)

5663 S LABURNUM AVE
RICHMOND, VA
ZIP 23231

(804) 737-3917

SEAN BASKERVILLE

Behavior Technician

5663 S LABURNUM AVE
RICHMOND, VA
ZIP 23231

(804) 737-3917

LAURA DANIAL

Behavior Technician

5663 S LABURNUM AVE
HENRICO, VA
ZIP 23231

(804) 737-3917

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.