Provider Demographics
NPI:1598237182
Name:AIMED HUMAN SERVICES VIRGINIA LLC
Entity Type:Organization
Organization Name:AIMED HUMAN SERVICES VIRGINIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:COREY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:412-704-5067
Mailing Address - Street 1:394 RODI RD STE 3
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-3307
Mailing Address - Country:US
Mailing Address - Phone:412-704-5067
Mailing Address - Fax:412-704-5630
Practice Address - Street 1:394 RODI RD STE 3
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-3307
Practice Address - Country:US
Practice Address - Phone:412-704-5067
Practice Address - Fax:412-704-5630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-20
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities