FOUNDATION FOR CARE LLC (NPI# 1932534864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932534864 |
Entity Type | Organization |
Organization Name | FOUNDATION FOR CARE LLC |
Practice Address |
4301 Montreal Ave. Prince George VA 23875 |
Mailing Address |
2703 Manchester Dr. Prince George VA 23805 |
Practice Telephone | 8048950510 |
Practice Fax Number | 8044463309 |
Mailing Telephone | 8048950510 |
Enumeration Date | 2013-09-11 |
Last Update Date | 2013-09-19 |
Authorized Official Name | MR. JAMONE OCTAVIUS BANKS (CEO) |
Authorized Official Telephone | 8048950510 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2413 | VA | Residential Treatment Facilities |
Street Address |
4301 MONTREAL AVE. |
City | PRINCE GEORGE |
State | VA |
Zip Code | 23875 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083228902 | Lr Counseling Services, LLC | Community/Behavioral Health | 5000 Owens Way, Apt. 622, Prince George, VA 23875 | 2020-09-08 |
1053815423 | Yolanda Larrette Hoag | Nurse Practitioner | 4600 Puddledock Rd, Prince George, VA 23875 | 2018-03-21 |
1073889697 | Jemina M Liverman | Nurse Practitioner | 4260 Crossing Blvd, Prince George, VA 23875 | 2012-03-28 |
1245412717 | Prince George County Public Schools | Local Education Agency (LEA) | 6410 Courts Drive, Prince George, VA 23875 | 2007-11-27 |
1952330193 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 6459 Administration Dr., Prince George, VA 23875 | 2006-07-01 |
1598173155 | Divine Spine Chiropractic | Chiropractor | 4205 Crossings Blvd, Prince George, VA 23875 | 2014-07-28 |
1669632782 | Ashif K Jethava | Internal Medicine | 4720 Puddledock Rd, Suite 100b, Prince George, VA 23875 | 2008-06-12 |
1043873664 | Branbur Dialysis LLC | Clinic/Center | 4650 Puddledock Rd, Prince George, VA 23875-1235 | 2019-04-18 |
1033754874 | Jessica M Larche | Nurse Practitioner | 4600 Puddledock Rd, Prince George, VA 23875-1235 | 2019-11-15 |
1023087368 | Mubashir A Khan | Psychiatry & Neurology | 4720 Puddledock Rd, Suite 100, Prince George, VA 23875-1237 | 2006-03-17 |
Find all providers in zip 23875 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134729213 | Saint Claire Healthcare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5601 Seminary Rd Apt 915n, Falls Church, VA 22041-2997 | 2020-10-28 |
1780283275 | Great Day Residential | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6606 Gills Gate Pl, Chesterfield, VA 23832-6004 | 2020-10-26 |
1306451448 | Nikita S Banks | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 505 Cumberland Street Ave, Ste 2, Portsmouth, VA 23704-2370 | 2020-09-15 |
1396359576 | Best Hope Community Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9662 Hawkshead Dr, Lorton, VA 22079-2786 | 2020-09-03 |
1609489038 | Viana Healthcare Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8205 Mockingbird Dr, Annandale, VA 22003-3713 | 2020-08-25 |
1770196339 | Jilly Healthcare Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4145 Lenox Dr, Fairfax, VA 22032-1112 | 2020-08-24 |
1225640279 | Guardian Angels Homecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1116 Pin Oak Drive, Suffolk, VA 23434-2343 | 2020-08-20 |
1659993079 | Collaborative Community LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6000 Filbert Ct, Springfield, VA 22152-1609 | 2020-05-07 |
1356962252 | Intellectual Services Group, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4813 Integrity Ct, Fredericksburg, VA 22408-1891 | 2020-05-01 |
1699394346 | Peace of Mind Residential Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Pinehurst Ln, Stafford, VA 22554-7288 | 2020-04-13 |
Find all providers with the same taxonomy |
City | PRINCE GEORGE |
Zip Code | 23875 |
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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.