OrganizationActive
Outreach Residential Services, Inc.
NPI 1710437801 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · North Chesterfield, VA
Provider details
- NPI number
- 1710437801
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Beverly Banks, Owner(804) 743-8155
- License
- 656-01-001 (VA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 656-01-001 (VA)
Residential Treatment Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs 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
5032 Niles Rd
North Chesterfield, VA 23234-4538
Phone: (804) 743-8155
Fax: (804) 275-4267
Street-level locationGet directions
Mailing address
5032 Niles Rd
North Chesterfield, VA 23234-4538
Registry dates
- Enumerated
- 2016-10-12
- Last updated
- 2016-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.