NPIMap

Organization Active NPI

Foundations for Change, PC

  • Case Management Agency
  • Hampton, VA
National Provider Identifier
1164432837
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
FOUNDATIONS FOR CHANGE, PC
Practice address
2013 Cunningham Dr Ste 329
Hampton, VA 23666-3306
Phone
(757) 262-1550
Fax
(757) 262-1540
NPI assigned
Aug 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Louise A Johnson, MBA
Title
DD Specialist
Phone
(757) 262-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2013 Cunningham Dr Ste 329
Hampton, VA 23666-3306

Mailing address

2013 Cunningham Dr Ste 329
Hampton, VA 23666-3306
Phone (757) 262-1550

National Provider Directory

National Provider Directory
Tax ID family
Foundations for Change PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2013 Cunningham Dr
Ste 329
Hampton, VA 23666
Phone (757) 262-1550

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164432837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 CUNNINGHAM DR STE 329",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663306",
            "telephone_number": "757-262-1550",
            "fax_number": "757-262-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 CUNNINGHAM DR STE 329",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663306",
            "telephone_number": "757-262-1550",
            "fax_number": "757-262-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS FOR CHANGE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DD SPECIALIST",
        "authorized_official_telephone_number": "757-262-1550",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.