Reset Residential
NPI 1639988678 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Petersburg, VA
Reset Residential is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Petersburg, VA (NPI 1639988678).
Provider details
- NPI number
- 1639988678
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ja'Van Jefferson, Managing/ Member(571) 830-9256
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Residential Treatment Facilities
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES 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
Mailing address
Registry dates
- Enumerated
- 2025-01-04
- Last updated
- 2025-01-04
- Certified
- 2025-01-03
Frequently asked questions
- What is Reset Residential's NPI number?
- Reset Residential's National Provider Identifier (NPI) is 1639988678, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Reset Residential?
- Reset Residential is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Reset Residential located?
- Reset Residential's practice location on file with NPPES is 1137 Normandale Ave W, Petersburg, VA 23803-7921.
- What is Reset Residential's phone number?
- The practice phone number listed in the NPPES registry for Reset Residential is (571) 830-9256.
- Who is the authorized official for Reset Residential?
- The authorized official listed on Reset Residential's NPPES record is Ja'Van Jefferson, Managing/ Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Reset Residential's NPI active?
- Yes — Reset Residential's NPI (1639988678) is active in the NPPES registry as of the last update on 2025-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.