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General NPI Number Information
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NPI Number | 1548088495
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Entity Type | Organization
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Legal Business Name | HERO CRISIS RESIDENTIAL HOMES LLC
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 04/20/2025
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Provider Practice Location Address
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Address Line | 6101 BARBOURSVILLE LN APT 1A
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-0027
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Country | US
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Telephone | 804-243-0637
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 83
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City | CHESTERFIELD
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State | VA
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Zip | 23832-0001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SHANTE THOMPSON
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Credential |
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Telephone | 804-243-0637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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