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F.A.C.E.S. COMMUNITY SERVICES NPI 1225399249


NPI Information

NPI: 1225399249
Provider Name: F.A.C.E.S. COMMUNITY SERVICES
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
3624 MARDEAN DR
CHESAPEAKE, VA
ZIP 23321
Phone: (757) 773-9627
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F.A.C.E.S. COMMUNITY SERVICES is a community based residential treatment facility, intellectual and/or developmental disabilities in Chesapeake, 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. F.A.C.E.S. COMMUNITY SERVICES NPI is 1225399249. The provider is registered as an organization entity type.

The provider's business location address is:

3624 MARDEAN DR
CHESAPEAKE, VA
ZIP 23321-476
Phone: (757) 773-9627
Fax: (757) 257-4775

The provider's authorized official is Adrianne Yvonne Sears .
The authorized official title is Ceo/owner and has the following contact phone number (757) 773-9627.

The enumeration date for this NPI number is 6/6/2012 and was last updated on 6/6/2012.


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 Disabilities1105VIRGINIAYes

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
11457505943MEDICAIDVIRGINIA

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: 4/28/2024

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