Childlike Faith Services, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

S4477073 Issued in VA

Legal business name

CHILDLIKE FAITH SERVICES, LLC

Practice address

12417 Branner Way
103
Chester, VA 23836-2807

Phone

(804) 475-2441

NPI assigned

Feb 15, 2016

Last updated

Feb 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Lee Howard Jr.

Title

Manager

Phone

(804) 475-2441

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1063871309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3464",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238318464",
            "telephone_number": "804-475-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12417 BRANNER WAY",
            "address_2": "103",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238362807",
            "telephone_number": "804-475-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDLIKE FAITH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "804-475-2441",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "S4477073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Erin R Choice, MA
• Yinan Chou, MD
• Daniela G Cioflec, MD
• Citagroup LLC (Cita Residential Services)

• Preferred Provider Organization in Chester, VA
• Providers in Chester, VA by specialty
• Preferred Provider Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.