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RAPPAHANNOCK AREA COMMUNITY SERVICES BOARD NPI 1871992347


NPI Information

NPI: 1871992347
Provider Name: RAPPAHANNOCK AREA COMMUNITY SERVICES BOARD
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
5604 ROSS DR
FREDERICKSBURG, VA
ZIP 22407
Phone: (540) 785-4909
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RAPPAHANNOCK AREA COMMUNITY SERVICES BOARD is a community based residential treatment facility, intellectual and/or developmental disabilities in Fredericksburg, VA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. RAPPAHANNOCK AREA COMMUNITY SERVICES BOARD NPI is 1871992347. The provider is registered as an organization entity type.

The provider's business location address is:

5604 ROSS DR
FREDERICKSBURG, VA
ZIP 22407-702
Phone: (540) 785-4909
Fax: (540) 785-4910

The provider's authorized official is Ronald Wade Branscome .
The authorized official title is Executive Director and has the following contact phone number (540) 899-4370.

The enumeration date for this NPI number is 8/20/2014 and was last updated on 9/11/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities101-01-005VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C01242OTHERVIRGINIAMEDICARE PTAN NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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