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SUPPORTIVE RESIDENTIAL LLC
NPI 1962280727
Day Training/Habilitation Specialist in Richmond, VA

Active since September 21, 2023
934 PLEASANT ST, RICHMOND, VA 23223(804) 305-4790 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Supportive Residential Llc NPPES

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

SUPPORTIVE RESIDENTIAL LLC (NPI 1962280727) is a healthcare organization registered as a day training/habilitation specialist in Richmond, Virginia and active in the NPI registry since September 2023. The organization lists Ashley Renee Clark, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1962280727
Entity TypeOrganization
Primary Taxonomy373H00000X
Legal Business NameSUPPORTIVE RESIDENTIAL LLC
Location Address934 PLEASANT STRichmond, VA 23223-6190
Mailing Address8005 Reedy Branch RdChesterfield, VA 23838-5710 · (804) 305-4790
Phone(804) 305-4790
Organization SubpartNo
Authorized OfficialAshley Renee ClarkExecutive Director · (804) 305-4790
Enumeration DateSeptember 21, 2023
NPPES CertifiedSeptember 21, 2023
✔ NPI 1962280727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

934 PLEASANT ST, Richmond, VA 23223
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ASHLEY RENEE CLARK
Counselor (Mental Health)
934 PLEASANT ST
RICHMOND, VA 23223
Henrico County (804) 421-3237

Frequently Asked Questions

What is SUPPORTIVE RESIDENTIAL LLC's NPI number?

The NPI number assigned to this healthcare provider is 1962280727, enumerated as an "organization" on September 21, 2023.

Where is the provider located?

The provider is located at 934 PLEASANT ST RICHMOND, VA 23223 and the phone number is (804) 305-4790.

What is the provider's specialty?

Day Training/Habilitation Specialist with taxonomy code 373H00000X.