NATIONAL MENTOR HEALTHCARE, INC. (NPI# 1760618979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760618979 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTHCARE, INC. |
| Other Organization Name | FAMILY ADVOCACY SERVICES OF VIRGINIA |
| Practice Address |
8540 Cinder Bed Rd Ste 1700 Lorton VA 22079-1442 |
| Practice Telephone | 7033397299 |
| Mailing Telephone | 7033397299 |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |
| Authorized Official Name | MICHAEL YOZZI (PROGRAM MANAGER) |
| Authorized Official Telephone | 7033397299 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | CO-125-09 | VA | Agencies |
| Other Name | Type Code |
|---|---|
| Family Advocacy Services of Virginia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306938444 | National Mentor Healthcare, Inc. | Case Management | 8540 Cinder Bed Road, Suite 1700, Newington, VA 22122 | 2006-09-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | NATIONAL MENTOR HEALTHCARE, INC. | 313 Congress St, Boston, MA 02210 |
| Street Address |
8540 CINDER BED RD STE 1700 |
| City | LORTON |
| State | VA |
| Zip Code | 22079-1442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992558 | Shannon O'connor | Occupational Therapist | 8350 Silverbrook Rd, Lorton, VA 22079 | 2020-08-14 |
| 1548746688 | Kevin Maurice Gleaton | Driver | 9209 Sheffield Hunt Court, Lorton, VA 22079 | 2018-07-12 |
| 1750714754 | Kenneth Ashton Freeman | Internal Medicine | 8915 Rhododendron Circle, Lorton, VA 22079 | 2013-08-13 |
| 1194068577 | Kraidy & Alkaffaf, LLC | Legal Medicine | 9025 Kiger Street, Lorton, VA 22079 | 2013-04-03 |
| 1720339559 | Jacqueline K Campbell | Nurse Practitioner | 8988 Lorton Market Street, # 100, Lorton, VA 22079 | 2012-09-19 |
| 1104176437 | Tiffany L Johnson | Occupational Therapy Assistant | 8828 Western Hemlock Way, Lorton, VA 22079 | 2012-09-13 |
| 1386908630 | William Hyong-sok Lee | Surgery | 8350-c Terminal Road, Newington, VA 22079 | 2012-07-02 |
| 1356668156 | Turn of A Newleaf,inc | Psychologist | 9693 Hagel Circle, Lorton, VA 22079 | 2010-05-03 |
| 1174848477 | Baseline Financial Management Group Corp | General Practice | 7217 Lockport Pl, Suite 102, Lorton, VA 22079 | 2010-03-30 |
| 1720211501 | Eugenia A. Walsh, Dds, PC | Dentist | 9010 Lorton Station Blvd., Suite 150, Lorton, VA 22079 | 2009-08-27 |
| Find all providers in zip 22079 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598318107 | Intercept Youth Services, Inc. | Foster Care Agency | 307 W Main St Ste 102, Lebanon, VA 24266-4219 | 2019-07-23 |
| 1982264321 | Intercept Youth Services, Inc. | Foster Care Agency | 616 W Main St Ste A, Radford, VA 24141-1780 | 2019-06-18 |
| 1659931087 | Intercept Youth Services, Inc. | Foster Care Agency | 625 Piney Forest Rd Ste 105, Danville, VA 24540-2868 | 2019-06-18 |
| 1417514753 | Intercept Youth Services, Inc. | Foster Care Agency | 201 N Main St Ste 1101, Farmville, VA 23901-1300 | 2019-05-22 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1639643794 | Embrace Foster Care, LLC | Foster Care Agency | 4099 Foxwood Drive, Suite 106, Virginia Beach, VA 23462-5222 | 2019-01-11 |
| 1508330697 | Embrace Foster Care, LLC | Foster Care Agency | 5014 Monument Avenue, Richmond, VA 23230-1800 | 2019-01-11 |
| 1285108340 | Embrace Foster Care, LLC | Foster Care Agency | 10705 Spotsylvania Avenue, Suite 101, Fredricksberg, VA 22408 | 2019-01-11 |
| 1588131940 | Thrive Behavioral Health and Wellness, Inc | Foster Care Agency | 535 E Braddock Rd Ste A, Alexandria, VA 22314-2161 | 2018-10-24 |
| 1780187757 | Esther's Home LLC | Foster Care Agency | 3302 Campbell Dr, Alexandria, VA 22303-1108 | 2018-03-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NATIONAL MENTOR HEALTHCARE, INC..
| 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.