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Reset Residential

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Petersburg, VA · enumerated 2025 · authorized official Ja'Van Jefferson, Managing/ Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639988678

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Registry record

Entity type Organization (Type 2)
Legal business name Reset Residential
Practice address 1137 Normandale Ave W, Petersburg, VA, 23803
Phone (571) 830-9256
Enumeration date Jan 4, 2025
Last updated in NPPES Jan 4, 2025

Taxonomy & classification

320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities Secondary
320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities Primary
323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities Secondary

Authorized official

Name Ja'Van Jefferson
Title Managing/ Member
Phone (571) 830-9256

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Reset Residential?
The NPI for Reset Residential is 1639988678, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Reset Residential?
NPPES lists Ja'Van Jefferson (Managing/ Member) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-04.