Unknown Individual – Emotionally Disturbed Childrens' Residential Treatment Facility, NPI 1407957822

Unknown Individual is a healthcare provider. based in Richmond, Virginia. specializing in Emotionally Disturbed Childrens' Residential Treatment Facility. They hold a License No. 295-14-012 (VA). The NPI Number for Unknown Individual is 1407957822

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1407957822
Phone
(804) 864-1320
Address
5511 STAPLES MILL RD
Deactivation Date
25 March 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Staples Mill Road, Richmond, Richmond City, Virginia, 23230, United States

    SUITE 102

    RICHMOND, VA 232285445

    Phone: (804) 864-1320

    Fax: (804) 864-1323

    Type: Mailing

  • Warwick Boulevard, Newport News, Virginia, 23608, United States

    NEWPORT NEWS, VA 236012345

    Phone: (757) 643-6960

    Fax: (757) 643-6962

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23228)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1407957822 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Emotionally Disturbed Childrens' Residential Treatment Facility for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Richmond, Virginia for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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