Healthcare Provider Details

I. General information

NPI: 1730043639
Provider Name (Legal Business Name): UMBRELLA SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10712 TOSTON LN
GLEN ALLEN VA
23060-6496
US

IV. Provider business mailing address

10712 TOSTON LN
GLEN ALLEN VA
23060-6496
US

V. Phone/Fax

Practice location:
  • Phone: 804-252-5482
  • Fax:
Mailing address:
  • Phone: 804-252-5482
  • Fax: 804-252-5482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: CHARLES SMALL
Title or Position: CEO/OWNER
Credential:
Phone: 804-252-5482