Active NPI
Evercare
- Community/Behavioral Health Agency
- Sterling, VA
National Provider Identifier
1013141472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 49805001
- Legal business name
- EVERCARE
- Practice address
- 46090 Lake Center PLZ
Suite 206-D
Sterling, VA 20165-5876 - Phone
- (804) 732-4281
- Fax
- (804) 862-2644
- NPI assigned
- May 13, 2009
- Organization subpart
- Yes
- Parent organization
- VISIONS FAMILY SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Denise B Malone, PSYD, BCBA
- Title
- Executive Director
- Phone
- (804) 732-4281
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 49805001 | VA | Primary |
Addresses
Primary practice location
46090 Lake Center PLZ
Suite 206-D
Sterling, VA 20165-5876
Mailing address
46090 Lake Center PLZ
Suite 206-D
Sterling, VA 20165-5876
Phone (804) 732-4281
Other names 1
- Visions Family Services
National Provider Directory
National Provider Directory- Part of
- Visions Family Services Inc
Locations
46090 Lake Center Plz
Ste 206D
Sterling, VA 20165
Phone (804) 732-4281
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Petersburg, VA
- NPI 1902978752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242172800000",
"number": "1013141472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46090 LAKE CENTER PLZ",
"address_2": "SUITE 206-D",
"city": "STERLING",
"state": "VA",
"postal_code": "201655876",
"telephone_number": "804-732-4281",
"fax_number": "804-862-2644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46090 LAKE CENTER PLZ",
"address_2": "SUITE 206-D",
"city": "STERLING",
"state": "VA",
"postal_code": "201655876",
"telephone_number": "804-732-4281",
"fax_number": "804-862-2644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERCARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VISIONS FAMILY SERVICES",
"enumeration_date": "2009-05-13",
"last_updated": "2009-05-13",
"status": "A",
"authorized_official_last_name": "MALONE",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "804-732-4281",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD, BCBA"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "VA",
"license": "49805001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Visions Family Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.