OrganizationActive
Andrea'S Home LLC
NPI 1043171614 · Emotionally Disturbed Childrens' Residential Treatment Facility · Hampton, VA
Provider details
- NPI number
- 1043171614
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Yanova Mitchener, Owner(718) 924-0443
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
306 Hollywood Ave
Hampton, VA 23661-2504
Phone: (718) 924-0443
Fax: (718) 924-0443
Street-level locationGet directions
Mailing address
510 Wine St
Hampton, VA 23669-3163
Registry dates
- Enumerated
- 2025-11-21
- Last updated
- 2025-11-21
- Certified
- 2025-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.