NPIMap

Organization Active NPI

Lutheran Family Services of Virginia, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lynchburg, VA
National Provider Identifier
1104986017
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
359 Issued in VA
Legal business name
LUTHERAN FAMILY SERVICES OF VIRGINIA, INC.
Practice address
3601 Old Forest Rd
Attn: Diane Exner
Lynchburg, VA 24501-2903
Phone
(434) 385-0262
Fax
(434) 385-0264
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Diane Exner
Title
Director
Phone
(434) 385-0262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 359 VA Primary

Addresses

Primary practice location

3601 Old Forest Rd
Attn: Diane Exner
Lynchburg, VA 24501-2903

Mailing address

2609 McVitty Rd
Attn: Freida King
Roanoke, VA 24018-3513
Phone (540) 774-7100

Other identifiers 1

IdentifierTypeStateIssuer
004948424MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Family Services of Virginia Inc32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Locations

3601 Old Forest Rd
Lynchburg, VA 24501
Phone (434) 385-0262

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1104986017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 MCVITTY RD",
            "address_2": "ATTN: FREIDA KING",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183513",
            "telephone_number": "540-774-7100",
            "fax_number": "540-774-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 OLD FOREST RD",
            "address_2": "ATTN: DIANE EXNER",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012903",
            "telephone_number": "434-385-0262",
            "fax_number": "434-385-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN FAMILY SERVICES OF VIRGINIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "EXNER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "434-385-0262"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004948424",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.