Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angel Lane, LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1215389200

Angel Lane, LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Midlothian, Virginia. Licensed in Virginia. Registered with an NPI since 2016.

Licensed in
VA
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11419 Courthouse Acres Dr
Midlothian, VA 23114-5168
Phone: (804) 833-0401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence 2471 (VA)

Record details

NPI number1215389200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rifukat Adeyemi — Program Director · (804) 833-0401
NPI enumeratedJuly 1, 2016
Last updated in NPPESJuly 1, 2016
Mailing address11419 Courthouse Acres Dr, Midlothian, VA 23114-5168

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