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SAFE SPACE RESIDENTIAL LLC
NPI 1588428635
Community Based Residential Treatment Facility, Mental Illness in Glen Allen, VA

Active since February 09, 2024
4610 STONEBROOK CT, GLEN ALLEN, VA 23060(804) 586-4471 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Safe Space Residential Llc NPPES

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

SAFE SPACE RESIDENTIAL LLC (NPI 1588428635) is a healthcare organization registered as a community based residential treatment facility, mental illness in Glen Allen, Virginia and active in the NPI registry since February 2024. The organization lists Roger Graves, Ceo, as its authorized official.

NPPES Registry Identity

NPI1588428635
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameSAFE SPACE RESIDENTIAL LLC
Location Address4610 STONEBROOK CTGlen Allen, VA 23060-3632
Mailing Address4100 Hyde Park DrChester, VA 23831-4826 · (804) 586-4471
Phone(804) 586-4471
Organization SubpartNo
Authorized OfficialRoger GravesCeo · (804) 586-4471
Enumeration DateFebruary 9, 2024
NPPES CertifiedFebruary 9, 2024
✔ NPI 1588428635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
4610 STONEBROOK CT, Glen Allen, VA 23060
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Other Providers at the Same Location NPPES

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

ROGER CLAYTON GRAVES
Counselor (Mental Health)
4610 STONEBROOK CT
GLEN ALLEN, VA 23060
Henrico County (804) 586-4471

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 Safe Space Residential LLC's NPI number?

The NPI number for Safe Space Residential LLC is 1588428635. It was assigned to this organization in the NPPES registry on February 9, 2024.

Where is Safe Space Residential LLC located?

Safe Space Residential LLC is located at 4610 Stonebrook Ct, Glen Allen, VA 23060. The listed phone number is (804) 586-4471.

What is Safe Space Residential LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Safe Space Residential LLC was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.