FAMILY PRESERVATION SERVICES, INC. (NPI# 1275805863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275805863 |
Entity Type | Organization |
Organization Name | FAMILY PRESERVATION SERVICES, INC. |
Practice Address |
514 North Main Street Rural Retreat VA 24368 |
Mailing Address |
10304 Spotsylvania Ave 3rd Floor Fredericksburg VA 22408-8602 |
Practice Telephone | 2762388885 |
Practice Fax Number | 2762388822 |
Mailing Telephone | 5407106085 |
Mailing Fax Number | 5407106447 |
Enumeration Date | 2012-01-30 |
Last Update Date | 2012-01-30 |
Authorized Official Name | MR. MICHAEL C FIDGEON (PRESIDENT) |
Authorized Official Telephone | 5407106085 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 158 02 029 | VA | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 158 02 029 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235791385 | Family Preservation Services, Inc. | Community/Behavioral Health | 59 John Lewis Rd, Fishersville, VA 22939-3414 | 2019-06-28 |
1770142994 | Family Preservation Services, Inc. | Community/Behavioral Health | 108 W Blue Ridge St, Stuart, VA 24171-1579 | 2019-06-11 |
1609434042 | Family Preservation Services, Inc. | Community/Behavioral Health | 155 Shady Elm Ln, Weber City, VA 24290-7299 | 2019-05-31 |
1477034999 | Family Preservation Services, Inc. | Community/Behavioral Health | 6339 Hurley Rd, Hurley, VA 24620-8601 | 2018-08-23 |
1386125805 | Family Preservation Services, Inc. | Community/Behavioral Health | 260 Advantage Dr, Tazewell, VA 24651-8551 | 2018-08-23 |
1740761261 | Family Preservation Services, Inc. | Community/Behavioral Health | 1300 Golden Wave Dr, Grundy, VA 24614-7070 | 2018-08-23 |
1962983650 | Family Preservation Services, Inc. | Community/Behavioral Health | 7802 Helen Henderson Hwy, Honaker, VA 24260-4226 | 2018-08-22 |
1306323225 | Family Preservation Services, Inc. | Community/Behavioral Health | 740 Figsboro Rd, Martinsville, VA 24112-6770 | 2018-07-24 |
1881104891 | Family Preservation Services, Inc. | Community/Behavioral Health | 816 E Bank St, Petersburg, VA 23803-3406 | 2017-10-04 |
1619374287 | Family Preservation Services, Inc. | Community/Behavioral Health | 58 Cedar Green Rd, Staunton, VA 24401-5423 | 2014-11-26 |
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 |
514 NORTH MAIN STREET |
City | RURAL RETREAT |
State | VA |
Zip Code | 24368 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770914053 | Sondra Alicia Monahan | Occupational Therapy Assistant | 694 Ward Branch Road, Rural Retreat, VA 24368 | 2013-12-11 |
1134466055 | Jeanie Lea Gonzalez | Pharmacist | 7059 West Lee Hwy, Rural Retreat, VA 24368 | 2013-01-11 |
1871633024 | Lee Anne Francis Lefler | Pharmacy Technician | 7059 West Lee Highway, Rural Retreat, VA 24368 | 2007-02-07 |
1457446262 | Stampers Health Enterprises Inc | Durable Medical Equipment & Medical Supplies | 544 North Main St, Rural Retreat, VA 24368 | 2006-10-04 |
1356445589 | Michael W. Spraker | Dentist | 7061 West Lee Hwy, Rural Retreat, VA 24368 | 2006-09-08 |
1407804420 | Holly Lynn Smith | Legal Medicine | 306 South Main St., Rural Retreat, VA 24368 | 2006-05-04 |
1750725024 | Blue Ridge Medical Management Corporation | Orthopaedic Surgery | 7021 West Lee Highway, Suite B, Rural Retreat, VA 24368 | 2013-04-17 |
1811269640 | Blue Ridge Medical Management Corporation | Nurse Practitioner | 7021 West Lee Highway, Suite B, Rural Retreat, VA 24368 | 2012-02-09 |
1447543996 | Blue Ridge Medical Management Corporation | Family Medicine | 7021 West Lee Highway, Suite C, Rural Retreat, VA 24368 | 2011-05-17 |
1255548608 | Michael Spraker Dds PC | Dentist | 7061 West Lee Hwy, Rural Retreat, VA 24368 | 2007-05-16 |
Find all providers in zip 24368 |
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 |
---|---|---|---|---|
1760855803 | Family Preservation Services, Inc | Community/Behavioral Health | 321 E Buck Ave, Rural Retreat, VA 24368-2528 | 2015-11-12 |
1912208588 | Family Preservation Services, Inc | Community/Behavioral Health | 325 E Buck Ave, Rural Retreat, VA 24368-2528 | 2010-11-12 |
1184855777 | Family Preservation Services, Inc | Community/Behavioral Health | 100 Martha Deborad Way, Rural Retreat, VA 24368-3214 | 2009-07-31 |
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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 |
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Find all providers with the same taxonomy |
City | RURAL RETREAT |
Zip Code | 24368 |
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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.