FAMILY PRESERVATION SERVICES, INC (NPI# 1215138565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215138565 |
| Entity Type | Organization |
| Organization Name | FAMILY PRESERVATION SERVICES, INC |
| Practice Address |
250 Statesman Drive Charlotte Court House VA 23923 |
| Mailing Address |
10304 Spotsylvania Ave 3rd Floor Fredericksburg VA 22408-8602 |
| Practice Telephone | 4346964633 |
| Practice Fax Number | 4346964634 |
| Mailing Telephone | 5407106085 |
| Mailing Fax Number | 5407106447 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL FIDGEON (COO) |
| Authorized Official Telephone | 5407106085 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 15802029 | VA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 15802029 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124518105 | Family Preservation Services, Inc | Community/Behavioral Health | 3710 Churchville Ave, Churchville, VA 24421-2500 | 2018-05-15 |
| 1689186090 | Family Preservation Services, Inc | Community/Behavioral Health | 6328 Merriman Rd, Roanoke, VA 24018-6624 | 2017-10-26 |
| 1679083596 | Family Preservation Services, Inc | Community/Behavioral Health | 311 S Bridge St, Bedford, VA 24523-2705 | 2017-10-05 |
| 1881104701 | Family Preservation Services, Inc | Community/Behavioral Health | 63 State Route 9030, Stuarts Draft, VA 24477 | 2017-10-05 |
| 1427568344 | Family Preservation Services, Inc | Community/Behavioral Health | 184 Fort Defiance Rd, Fort Defiance, VA 24437-2001 | 2017-10-05 |
| 1154854248 | Family Preservation Services, Inc | Community/Behavioral Health | 5338 Esserville Road, Norton, VA 24273 | 2017-04-06 |
| 1386185361 | Family Preservation Services, Inc | Community/Behavioral Health | 122 Municipal Ave, Gate City, VA 24251-2738 | 2017-03-10 |
| 1255870093 | Family Preservation Services, Inc | Community/Behavioral Health | 12400 E Lynchburg Salem Turnpike, Forest, VA 24551 | 2017-02-13 |
| 1326598293 | Family Preservation Services, Inc | Community/Behavioral Health | 432 Church St, Millboro, VA 24460-2132 | 2016-10-04 |
| 1659828820 | Family Preservation Services, Inc | Community/Behavioral Health | 1 High School Circle, South Boston, VA 24592 | 2016-09-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Family Preservation Services, Inc. | P O Box 12925 , Tucson, AZ 85732 |
| Virginia Business Entity | Family Preservation Services, Inc. | 10304 SPOTSYLVANIA AVENUE SUITE 300, FREDERICKSBURG, VA 22408 |
| Street Address |
250 STATESMAN DRIVE |
| City | CHARLOTTE COURT HOUSE |
| State | VA |
| Zip Code | 23923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528612074 | Francis Albert Argal Babaran | Dentist | 165 Legrande Avenue P.o. Drawer 470, Charlotte Court House, VA 23923 | 2019-08-01 |
| 1174988950 | Kimberly Dawn Jubb | Nurse Practitioner | 165 Legrande Ave., Charlotte Court House, VA 23923 | 2015-12-22 |
| 1366716383 | Apex Day Support Services, LLC. | Day Training, Developmentally Disabled Services | 275 C George Washington Highway, Charlotte Court House, VA 23923 | 2012-03-08 |
| 1407082811 | Mental Health Community Based Resources | Community/Behavioral Health | 515 George Washington Hwy, Charlotte Court House, VA 23923 | 2009-06-01 |
| 1013171461 | Family Preservation Services, Inc. | Community/Behavioral Health | 577 David Bruce Avenue, Charlotte Court House, VA 23923 | 2008-07-15 |
| 1053575324 | Family Preservation Services, Inc | Community/Behavioral Health | 414 Thomas Jefferson Hwy, Charlotte Court House, VA 23923 | 2008-07-15 |
| 1669492880 | Joy B Bagby | Counselor | 410 Thomas Jefferson Hwy, Charlotte Ch, VA 23923 | 2006-07-20 |
| 1245275346 | Marian A Hahesy Calhoun | Family Medicine | 165 Le Grande Ave, Charlotte Couthhouse, VA 23923 | 2006-06-20 |
| 1902002991 | Daniel E Pouchot | Dentist | 165 Legrande Avenue, Charlotte Courthouse, VA 23923 | 2007-06-26 |
| 1891823498 | Central Virginia Health Services Inc | Clinic/Center | 165 Legrande Avenue, Charlotte Courthouse, VA 23923 | 2007-03-02 |
| Find all providers in zip 23923 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407082811 | Mental Health Community Based Resources | Community/Behavioral Health | 515 George Washington Hwy, Charlotte Court House, VA 23923 | 2009-06-01 |
| 1205091147 | Family Preservation Services, Inc. | Community/Behavioral Health | 5015 Patrick Henry Hwy, Charlotte Court House, VA 23923-3604 | 2008-07-21 |
| 1013171461 | Family Preservation Services, Inc. | Community/Behavioral Health | 577 David Bruce Avenue, Charlotte Court House, VA 23923 | 2008-07-15 |
| 1053575324 | Family Preservation Services, Inc | Community/Behavioral Health | 414 Thomas Jefferson Hwy, Charlotte Court House, VA 23923 | 2008-07-15 |
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|---|---|---|---|---|
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| 1700493582 | Therapeutic Services of Virginia | Community/Behavioral Health | 101 Deep Creek Rd, Newport News, VA 23606-2219 | 2020-09-25 |
| 1801402995 | Strategic Therapy Associates, Inc. | Community/Behavioral Health | 150 W Main St Ste E, Wytheville, VA 24382-2376 | 2020-09-23 |
| 1396351193 | Maxim Healthcare Services Inc. | Community/Behavioral Health | 293 Independence Blvd Ste 400, Virginia Beach, VA 23462-5461 | 2020-09-17 |
| 1083228902 | Lr Counseling Services, LLC | Community/Behavioral Health | 5000 Owens Way, Apt. 622, Prince George, VA 23875 | 2020-09-08 |
| 1073127411 | Youth Outreach Services | Community/Behavioral Health | 7050 Lakota Dr Apt 301, Woodbridge, VA 22192-5392 | 2020-09-02 |
| 1053924803 | Foundation of Hope Mental Health Services LLC | Community/Behavioral Health | 857 Hardwood Dr, Chesapeake, VA 23320-9215 | 2020-08-30 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTE COURT HOUSE |
| Zip Code | 23923 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.