OrganizationActive
Jennifer White
NPI 1083137368 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Disputanta, VA
Provider details
- NPI number
- 1083137368
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jennifer White, Billing(804) 550-8674
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
6688 Tatum Road
Disputanta, VA 23842-6902
Phone: (804) 550-8674
Street-level locationGet directions
Mailing address
6688 Tatum Rd
Disputanta, VA 23842-6902
Additional practice locations (1)
- 6688 Tatum RoadDisputanta, VA 23842-6902Phone: (804) 550-8674
Registry dates
- Enumerated
- 2017-07-19
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.