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MYSTIC MEADOW GROUP HOME, LLC
NPI 1528347358
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lynchburg, VA

Active since August 10, 2011
2157 CAMPBELL AVE, LYNCHBURG, VA 24501(434) 847-2001(434) 847-2022 Get Directions Write a Review

NPPES record last updated: August 10, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mystic Meadow Group Home, Llc NPPES

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

MYSTIC MEADOW GROUP HOME, LLC (NPI 1528347358) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Lynchburg, Virginia and active in the NPI registry since August 2011. The organization lists Valerie A Elliott, President, as its authorized official.

NPPES Registry Identity

NPI1528347358
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameMYSTIC MEADOW GROUP HOME, LLC
Location Address2157 CAMPBELL AVELynchburg, VA 24501-6405
Mailing Address2157 Campbell AveLynchburg, VA 24501-6405 · (434) 847-2001 · Fax (434) 847-2022
Phone(434) 847-2001
Fax(434) 847-2022
Organization SubpartNo
Authorized OfficialValerie A ElliottPresident · (434) 847-2001
Enumeration DateAugust 10, 2011
✔ NPI 1528347358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
2157 CAMPBELL AVE, Lynchburg, VA 24501
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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 Mystic Meadow Group Home, LLC's NPI number?

The NPI number for Mystic Meadow Group Home, LLC is 1528347358. It was assigned to this organization in the NPPES registry on August 10, 2011.

Where is Mystic Meadow Group Home, LLC located?

Mystic Meadow Group Home, LLC is located at 2157 Campbell Ave, Lynchburg, VA 24501. The listed phone number is (434) 847-2001.

What is Mystic Meadow Group Home, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Mystic Meadow Group Home, LLC was last updated on August 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.