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SUPPORTIVE FAMILY SERVICES NPI 1295295160


NPI Information

NPI: 1295295160
Provider Name: SUPPORTIVE FAMILY SERVICES

Other Name: SUPPORTIVE FAMILY SERVICES

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
2189 K V RD
VICTORIA, VA
ZIP 23974
Phone: (804) 885-0773
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SUPPORTIVE FAMILY SERVICES is a residential treatment facility, intellectual and/or developmental disabilities in Victoria, VA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. SUPPORTIVE FAMILY SERVICES NPI is 1295295160. The provider is registered as an organization entity type.
The provider Other Name Is Supportive Family Services.

The provider's business location address is:

2189 K V RD
VICTORIA, VA
ZIP 23974-538
Phone: (804) 885-0773

The provider's authorized official is Pamblet Smith Johnson .
The authorized official title is Owner and has the following contact phone number (804) 955-5853.

The enumeration date for this NPI number is 3/25/2019 and was last updated on 8/2/2023.


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
1251B00000XCase ManagementNo
2251S00000XCommunity/Behavioral HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
4310400000XAssisted Living FacilityNo
5343900000XNon-emergency Medical Transport (VAN)No
6320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.