Organization Active NPI

Amerihealth Care, LLC

Doing business as Fox Towne Adult Care Center

  • Adult Day Care Clinic/Center
  • King George, VA
National Provider Identifier
1104213990
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
ADC1103658 Issued in VA
Legal business name
AMERIHEALTH CARE, LLC
Doing business as
Fox Towne Adult Care Center
Practice address
10212 Kings Hwy
King George, VA 22485-3429
Phone
(540) 775-5502
NPI assigned
Apr 20, 2015
Last updated
Apr 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Edith Anikwe
Title
Administrator
Phone
(540) 775-5502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X ADC1103658 VA Primary

Addresses

Primary practice location

10212 Kings Hwy
King George, VA 22485-3429

Mailing address

10212 Kings Hwy
King George, VA 22485-3429
Phone (540) 775-5502

Other identifiers 1

IdentifierTypeStateIssuer
0156132976MedicaidVA

Other names 1

  • Fox Towne Adult Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

10212 Kings Hwy
King George, VA 22485
Phone (540) 775-5502

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1104213990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10212 KINGS HWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224853429",
            "telephone_number": "540-775-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10212 KINGS HWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224853429",
            "telephone_number": "540-775-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIHEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "ANIKWE",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "540-775-5502"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "VA",
            "license": "ADC1103658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156132976",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fox Towne Adult Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in King George, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.