FAMILY PRESERVATION SERVICES, INC (NPI# 1952796823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952796823 |
| Entity Type | Organization |
| Organization Name | FAMILY PRESERVATION SERVICES, INC |
| Practice Address |
5123 Dickenson Highway Clintwood VA 24228 |
| Mailing Address |
10304 Spotsylvania Ave Suite 300 Fredericksburg VA 22408-8602 |
| Practice Telephone | 2769264031 |
| Practice Fax Number | 2769633747 |
| Mailing Telephone | 5407106085 |
| Mailing Fax Number | 5407106447 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |
| Authorized Official Name | MR. JON D MORRIS (CEO) |
| Authorized Official Telephone | 5407106085 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 158 02 011 | VA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 158 02 011 | 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 |
5123 DICKENSON HIGHWAY |
| City | CLINTWOOD |
| State | VA |
| Zip Code | 24228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740696152 | Family Preservation Services, Inc. | Community/Behavioral Health | 5123 Dickenson Highway, Clintwood, VA 24228 | 2014-07-07 |
| 1144636564 | Family Preservation Services, Inc | Community/Behavioral Health | 5123 Dickenson Highway, Clintwood, VA 24228 | 2014-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851816953 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5451 Dickenson Hwy, Clintwood, VA 24228 | 2017-08-09 |
| 1669902243 | Mountain States Health Alliance | Hospice Care, Community Based | 312 Hospital Dr Suite 1b, Clintwood, VA 24228 | 2017-06-15 |
| 1316476211 | Mountain States Health Alliance | Home Health | 312 Hospital Dr Suite 1a, Clintwood, VA 24228 | 2017-06-06 |
| 1134667009 | Amy Meade | Pharmacist | 342 Main Street, Clintwood, VA 24228 | 2017-02-10 |
| 1881087385 | Family Preservation Services, Inc | Community/Behavioral Health | 1381 Rose Ridge Ct, Clintwood, VA 24228 | 2015-03-09 |
| 1477951515 | Tauna Gulley | Nurse Practitioner | 233 Chase Street, Suite 100, Clintwood, VA 24228 | 2014-12-05 |
| 1962816884 | Family Preservation Services, Inc | Community/Behavioral Health | 5123 & 5127 Dickenson Highway, Clintwood, VA 24228 | 2014-06-18 |
| 1003163643 | Family Preservation Services, Inc | Community/Behavioral Health | 150 Elementary Circle, Clintwood, VA 24228 | 2012-08-14 |
| 1265739122 | Family Preservation Services, Inc. | Community/Behavioral Health | Technology Park Drive, Clintwood, VA 24228 | 2011-02-11 |
| 1972810117 | Lisa M Howard | Pharmacist | Corner of Route 83 and Brushcreek Road, Clintwood, VA 24228 | 2010-09-09 |
| Find all providers in zip 24228 | ||||
| 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 |
|---|---|---|---|---|
| 1881087385 | Family Preservation Services, Inc | Community/Behavioral Health | 1381 Rose Ridge Ct, Clintwood, VA 24228 | 2015-03-09 |
| 1740696152 | Family Preservation Services, Inc. | Community/Behavioral Health | 5123 Dickenson Highway, Clintwood, VA 24228 | 2014-07-07 |
| 1962816884 | Family Preservation Services, Inc | Community/Behavioral Health | 5123 & 5127 Dickenson Highway, Clintwood, VA 24228 | 2014-06-18 |
| 1003163643 | Family Preservation Services, Inc | Community/Behavioral Health | 150 Elementary Circle, Clintwood, VA 24228 | 2012-08-14 |
| 1265739122 | Family Preservation Services, Inc. | Community/Behavioral Health | Technology Park Drive, Clintwood, VA 24228 | 2011-02-11 |
| 1134366032 | Family Preservation Services, Inc | Community/Behavioral Health | 1280 Browning Holw, Clintwood, VA 24228-6074 | 2009-01-14 |
| 1144636564 | Family Preservation Services, Inc | Community/Behavioral Health | 5123 Dickenson Highway, Clintwood, VA 24228 | 2014-07-07 |
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| Find all providers with the same taxonomy | ||||
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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.