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

Supportive Residential LLC

Organization Day Training/Habilitation Specialist · NPI 1962280727

Supportive Residential LLC is a Day Training/Habilitation Specialist in Richmond, Virginia. Registered with an NPI since 2023.

In the registry since
2023
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

934 Pleasant St
Richmond, VA 23223-6190
Phone: (804) 305-4790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X

Record details

NPI number1962280727
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Clark — Executive Director · (804) 305-4790
NPI enumeratedSeptember 21, 2023
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 21, 2023
Mailing address8005 Reedy Branch Rd, Chesterfield, VA 23838-5710

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