Provider Demographics
NPI:1316839582
Name:VIBRANT COMMUNITY HOMES, LLC
Entity type:Organization
Organization Name:VIBRANT COMMUNITY HOMES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LAVENTRICE
Authorized Official - Middle Name:S
Authorized Official - Last Name:RIDGEWAY
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LPC, NCC
Authorized Official - Phone:251-800-1670
Mailing Address - Street 1:1500 HILLCREST RD APT 1111
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-3963
Mailing Address - Country:US
Mailing Address - Phone:251-800-1670
Mailing Address - Fax:
Practice Address - Street 1:1500 HILLCREST RD APT 1111
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-3963
Practice Address - Country:US
Practice Address - Phone:251-800-1670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities