PROVIDENCE HOUSE
NPI 1487755922
Residential Treatment Facility, Emotionally Disturbed Children in Richmond, VA

Active since September 26, 2006
2241 S PROVIDENCE RD, RICHMOND, VA 23236(804) 497-7900(804) 497-7902 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2024, Sep 24, 2020, Aug 22, 2020 (3 updates tracked since 2020).

About Providence House NPPES

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

PROVIDENCE HOUSE (NPI 1487755922) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Richmond, Virginia and active in the NPI registry since September 2006. The organization lists Yolanda Winfield, Revenue Cycle Manager, as its authorized official.

NPPES Registry Identity

NPI1487755922
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameINTERCEPT YOUTH SERVICES, INC.
Location Address2241 S PROVIDENCE RDRichmond, VA 23236-2159
Mailing Address5511 Staples Mill Rd, Suite 102Richmond, VA 23228-5445 · (804) 864-1320 · Fax (804) 864-1323
Fax(804) 497-7902
Organization SubpartNo
Authorized OfficialYolanda WinfieldRevenue Cycle Manager · (804) 807-1201
Enumeration DateSeptember 26, 2006
Last NPPES UpdateNovember 19, 20243 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
NPI 1487755922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License Licensed in VA · 295-14-006
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
2241 S PROVIDENCE RD, Richmond, VA 23236

Other Names 1

Other NameProvidence House

Other Identifiers 1

Medicaid30015173320394VA

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 Intercept Youth Services, Inc.'s NPI number?

The NPI number for Intercept Youth Services, Inc. is 1487755922. It was assigned to this organization in the NPPES registry on September 26, 2006. The provider is also known as Providence House.

Where is Intercept Youth Services, Inc. located?

Intercept Youth Services, Inc. is located at 2241 S Providence Rd, Richmond, VA 23236. The listed phone number is (804) 497-7900.

What is Intercept Youth Services, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Intercept Youth Services, Inc. was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.