RESET RESIDENTIAL
NPI 1639988678
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Petersburg, VA

Q: What is Reset Residential's NPI number?

The NPI number for Reset Residential is 1639988678. It was assigned to this organization in the NPPES registry on January 4, 2025.

Q: What is Reset Residential's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Reset Residential was last updated on January 4, 2025. 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.

Active since January 04, 2025

1137 NORMANDALE AVE W, PETERSBURG, VA 23803(571) 830-9256 Get Directions Write a Review

NPPES record last updated: January 4, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Reset Residential NPPES

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

RESET RESIDENTIAL (NPI 1639988678) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Petersburg, Virginia and active in the NPI registry since January 2025. The organization lists Ja'van Jefferson, Managing/ Member, as its authorized official.

NPPES Registry Identity

NPI1639988678

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameRESET RESIDENTIAL

Location Address1137 NORMANDALE AVE WPetersburg, VA 23803-7921

Mailing Address1137 Normandale Ave WPetersburg, VA 23803-7921 · (571) 830-9256

Phone(571) 830-9256

Organization SubpartNo

Authorized OfficialJa'van JeffersonManaging/ Member · (571) 830-9256

Enumeration DateJanuary 4, 2025

NPPES CertifiedJanuary 3, 2025

✔ NPI 1639988678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X

Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X

1137 NORMANDALE AVE W, Petersburg, VA 23803

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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 Reset Residential's NPI number?

The NPI number for Reset Residential is 1639988678. It was assigned to this organization in the NPPES registry on January 4, 2025.

Where is Reset Residential located?

Reset Residential is located at 1137 Normandale Ave W, Petersburg, VA 23803. The listed phone number is (571) 830-9256.

What is Reset Residential's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Reset Residential was last updated on January 4, 2025. 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.