Healthcare Provider Details

I. General information

NPI: 1710851159
Provider Name (Legal Business Name): STRIDE RIGHT SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2025
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 RAVINE GAP DR
SUFFOLK VA
23434-3048
US

IV. Provider business mailing address

3030 RAVINE GAP DR
SUFFOLK VA
23434-3048
US

V. Phone/Fax

Practice location:
  • Phone: 757-335-0067
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: RYAN J NORMAN
Title or Position: OWNER
Credential:
Phone: 757-335-0067