Caforral Agency, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CAFORRAL AGENCY, LLC

Practice address

113 Davis Dr
Danville, VA 24540-1437

Phone

(434) 341-3863

Fax

(434) 228-4935

NPI assigned

Aug 9, 2021

Last updated

Oct 24, 2024By 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

Mrs. Lonnie Llana Fitzgerald

Title

Owner

Phone

(434) 341-3863

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1083389472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10669",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245435012",
            "telephone_number": "434-341-3863",
            "fax_number": "434-228-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 DAVIS DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245401437",
            "telephone_number": "434-341-3863",
            "fax_number": "434-228-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAFORRAL AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_middle_name": "LLANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-341-3863",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Danville, VA
• Providers in Danville, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.