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

Q: What is Supportive Residential LLC's NPI number?

The NPI number for Supportive Residential LLC is 1962280727. It was assigned to this organization in the NPPES registry on September 21, 2023.

Q: What is Supportive Residential LLC's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

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: August 09, 2026.

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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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supportive Residential LLC's NPI number?

The NPI number for Supportive Residential LLC is 1962280727. It was assigned to this organization in the NPPES registry on September 21, 2023.

Where is Supportive Residential LLC located?

Supportive Residential LLC is located at 934 Pleasant St, Richmond, VA 23223. The listed phone number is (804) 305-4790.

What is Supportive Residential LLC's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Supportive Residential LLC was last updated on September 21, 2023. 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.