Organization Active NPI

Forever Endeavor LLC

  • Community/Behavioral Health Agency
  • Farmville, VA
National Provider Identifier
1053872135
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FOREVER ENDEAVOR LLC
Doing business as
Forever Endeavor LLC
Practice address
1 Mill St Ste 100
Farmville, VA 23901-3401
Phone
(434) 315-0000
Fax
(434) 315-8759
NPI assigned
Mar 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Arthur L Byrd Sr., LMHP-RNPI 1639631450
Title
President/Ceo
Phone
(143) 460-7729

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1 Mill St Ste 100
Farmville, VA 23901-3401

Mailing address

1 Mill St Ste 100
Farmville, VA 23901-3401
Phone (434) 315-0000

Other practice location 1

605 N Courthouse Rd Ste 200A
North Chesterfield, VA 23236-4068
Phone (804) 378-8800

Other names 1

  • Forever Endeavor LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1 Mill St
Ste 100
Farmville, VA 23901
Phone (434) 315-0000

605 N Courthouse Rd
Ste 200A
North Chesterfield, VA 23236
Phone (804) 378-8800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1053872135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MILL ST STE 100",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239013401",
            "telephone_number": "434-315-0000",
            "fax_number": "434-315-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MILL ST STE 100",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239013401",
            "telephone_number": "434-315-0000",
            "fax_number": "434-315-8759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 N Courthouse Rd Ste 200A",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232364068",
            "country_code": "US",
            "telephone_number": "804-378-8800",
            "fax_number": "804-378-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOREVER ENDEAVOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "143-460-7729",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LMHP-R"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forever Endeavor LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.