Provider Demographics
NPI:1417128463
Name:TSG SERVICES, INC.
Entity Type:Organization
Organization Name:TSG SERVICES, INC.
Other - Org Name:INDEPENDENT ADULT CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:RIEHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-580-6346
Mailing Address - Street 1:P.O. BOX 11247
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230
Mailing Address - Country:US
Mailing Address - Phone:804-433-3530
Mailing Address - Fax:804-433-3531
Practice Address - Street 1:6401 IRONGATE DRIVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23234
Practice Address - Country:US
Practice Address - Phone:804-612-1563
Practice Address - Fax:804-308-3790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1115251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA223935661Medicaid