Healthcare Provider Details

I. General information

NPI: 1528983657
Provider Name (Legal Business Name): NEW GENERATION INTERNATIONAL MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 BLAIR ST
RICHMOND VA
23220-6406
US

IV. Provider business mailing address

1700 BLAIR ST
RICHMOND VA
23220-6406
US

V. Phone/Fax

Practice location:
  • Phone: 804-309-9793
  • Fax:
Mailing address:
  • Phone: 804-309-9793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL HATHAWAY
Title or Position: MANAGING MEMBER
Credential:
Phone: 804-309-9793