Healthcare Provider Details

I. General information

NPI: 1871459826
Provider Name (Legal Business Name): HOPE RISING YOUTH RESIDENTIAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2026
Last Update Date: 01/18/2026
Certification Date: 01/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2208 WATTS LN
RICHMOND VA
23223-1939
US

IV. Provider business mailing address

3701 BENTON AVE
RICHMOND VA
23222-2303
US

V. Phone/Fax

Practice location:
  • Phone: 470-774-9041
  • Fax:
Mailing address:
  • Phone: 470-774-9041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: SELENA RICHARDSON
Title or Position: OWNER
Credential:
Phone: 470-774-9041