OrganizationActive
Blended Communities, LLC
NPI 1740046556 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hampton, VA
Provider details
- NPI number
- 1740046556
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Yanova Mitchener, Owner(718) 924-0443
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
1718 N King St Ste 204
Hampton, VA 23669-1910
Phone: (757) 600-7642
Fax: (888) 860-3261
Approximate (ZIP-level) locationGet directions
Mailing address
1718 N King St Ste 204
Hampton, VA 23669-1910
Other names (DBA / former)
- Doing business as
- Blended Communities
Registry dates
- Enumerated
- 2024-02-28
- Last updated
- 2024-02-28
- Certified
- 2024-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.