Organization
OTL COMMUNITY SERVICES
Active
Other names
Good Neighbor Intensive In Home Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
HAILEY MAZZEI (PROGRAM DIRECTOR)
(804) 520-4600
Entity
Organization
Contact information
Practice address
9201 ARBORETUM PKWY STE 300, NORTH CHESTERFIELD, VA 23236-5407
(855) 355-7001
(804) 251-0989
Mailing address
9201 ARBORETUM PKWY STE 300, NORTH CHESTERFIELD, VA 23236-5407
(804) 520-4600
(833) 525-0063
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
74805001
VA
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74805001
DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES
VA
Enumeration date
03/01/2007
Last updated
05/24/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us