MEDICARE: MATERNAL VILLAGE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1528784840
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATERNAL VILLAGE, INC.

Provider Business Mailing Address
First Line	:	1518 PERRY ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23224-2060
Country	:	US
Telephone Number	:	804-503-5792
Fax Number	:

Provider Business Practice Location Address
First Line	:	1518 PERRY ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23224-2060
Country	:	US
Telephone Number	:	804-503-5792
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	INE SAKA
Credential	:	NP
Telephone Number	:	804-503-5792

Provider Enumeration Date	:	10/18/2022
Last Update Date	:	11/10/2025

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Directions to “MATERNAL VILLAGE, INC. ” Practice Location

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