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TRANSFORMATIVE WELLNESS VA LLC
NPI 1508674649
Substance Abuse Rehabilitation Facility in North Chesterfield, VA

Active since December 20, 2024CLIA 49D2316418 · Waiver
300 GATEWAY CENTRE PKWY, NORTH CHESTERFIELD, VA 23235(804) 915-9403 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2024, Dec 20, 2024 (2 updates tracked since 2024).

About Transformative Wellness Va Llc NPPES

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

TRANSFORMATIVE WELLNESS VA LLC (NPI 1508674649) is a healthcare organization registered as a substance abuse rehabilitation facility in North Chesterfield, Virginia and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through January 5, 2027 and lists Greg Eger, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508674649
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameTRANSFORMATIVE WELLNESS VA LLC
Location Address300 GATEWAY CENTRE PKWYNorth Chesterfield, VA 23235-5139
Mailing Address300 Gateway Centre PkwyNorth Chesterfield, VA 23235-5139
Phone(804) 915-9403
Organization SubpartNo
Authorized OfficialGreg EgerCeo · (702) 902-0497
Enumeration DateDecember 20, 2024
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1508674649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
300 GATEWAY CENTRE PKWY, North Chesterfield, VA 23235
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2316418

Transformative Wellness VA LLC · Richmond, VA
Active · expires Jan 5, 2027
CLIA Number49D2316418
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJanuary 6, 2025
Certificate Expiration DateJanuary 5, 2027
Laboratory DirectorJason Kirby
Laboratory Phone(804) 915-9403
Laboratory LocationTransformative Wellness VA LLC300 Gateway Centre Pkwy, Richmond, VA 23235
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LANDMARK RECOVERY OF NORFOLK LLC
Substance Abuse Rehabilitation Facility
300 GATEWAY CENTRE PKWY
NORTH CHESTERFIELD, VA 23235
Chesterfield County (855) 950-5035
MS. NAOMI MARTINA JACKSON LCSW
Social Worker (Clinical)
300 GATEWAY CENTRE PKWY
NORTH CHESTERFIELD, VA 23235
Chesterfield County (204) 635-3342
MISS DEANNA GRACE ROBERTSON LPC
Counselor (Professional)
300 GATEWAY CENTRE PKWY
NORTH CHESTERFIELD, VA 23235
Chesterfield County (804) 915-9403

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 Transformative Wellness VA LLC's NPI number?

The NPI number for Transformative Wellness VA LLC is 1508674649. It was assigned to this organization in the NPPES registry on December 20, 2024.

Where is Transformative Wellness VA LLC located?

Transformative Wellness VA LLC is located at 300 Gateway Centre Pkwy, North Chesterfield, VA 23235. The listed phone number is (804) 915-9403.

What is Transformative Wellness VA LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Transformative Wellness VA LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2316418) is associated with this NPI, valid through January 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Transformative Wellness VA LLC was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.