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

Grandslam Residential, LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1528481678

Grandslam Residential, LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Chester, Virginia. Licensed in Virginia. Registered with an NPI since 2014.

Licensed in
VA
In the registry since
2014
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

14012 Rockhaven Dr
Chester, VA 23836-9721
Phone: (804) 691-9178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence 2194 (VA)

Record details

NPI number1528481678
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Davis — Ceo · (804) 691-9178
NPI enumeratedJanuary 26, 2014
Last updated in NPPESJanuary 26, 2014
Mailing address14012 Rockhaven Dr, Chester, VA 23836-9721

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