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PINE GROVE GROUP HOME, LLC
NPI 1922519826
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in North Garden, VA

Active since October 18, 2017
4116 RED HILL SCHOOL RD, NORTH GARDEN, VA 22959(434) 295-1615 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 16, 2018, Oct 18, 2017 (2 updates tracked since 2017).

About Pine Grove Group Home, Llc NPPES

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

PINE GROVE GROUP HOME, LLC (NPI 1922519826) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in North Garden, Virginia and active in the NPI registry since October 2017. The organization lists Stephanie Jane Jones, Deputy Director, as its authorized official.

NPPES Registry Identity

NPI1922519826
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NamePINE GROVE GROUP HOME, LLC
Location Address4116 RED HILL SCHOOL RDNorth Garden, VA 22959-1733
Mailing Address4116 Red Hill School RdNorth Garden, VA 22959-1733 · (434) 295-1615
Phone(434) 295-1615
Organization SubpartNo
Authorized OfficialStephanie Jane JonesDeputy Director · (434) 981-4052
Enumeration DateOctober 18, 2017
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1922519826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in VA · 069801001
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.

Also ListedMealsTaxonomy 174200000X
4116 RED HILL SCHOOL RD, North Garden, VA 22959
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Other Identifiers 2

Other0269801001Provider
Other0269801001VA · Provider

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 Pine Grove Group Home, LLC's NPI number?

The NPI number for Pine Grove Group Home, LLC is 1922519826. It was assigned to this organization in the NPPES registry on October 18, 2017.

Where is Pine Grove Group Home, LLC located?

Pine Grove Group Home, LLC is located at 4116 Red Hill School Rd, North Garden, VA 22959. The listed phone number is (434) 295-1615.

What is Pine Grove 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 Pine Grove Group Home, LLC was last updated on June 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.