OrganizationActive
Re-Creation Residential Group Home Services LLC
NPI 1215883897 · Emotionally Disturbed Childrens' Residential Treatment Facility · Portsmouth, VA
Provider details
- NPI number
- 1215883897
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Lavanda Flores, Ceo(215) 252-2996
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
1303 Fillmore St
Portsmouth, VA 23704-6417
Phone: (215) 252-2996
Fax: (703) 563-2136
Street-level locationGet directions
Mailing address
39 Riverview Ave
Portsmouth, VA 23704-1916
Registry dates
- Enumerated
- 2026-03-06
- Last updated
- 2026-03-06
- Certified
- 2026-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.