Felts Supports for Living, LLC

Primary specialty

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

License

2015 Issued in VA

Legal business name

FELTS SUPPORTS FOR LIVING, LLC

Practice address

388 Coleman LN
Galax, VA 24333-5643

Phone

(276) 235-8188

NPI assigned

Sep 18, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Felts

Title

Co-Owner

Phone

(276) 235-8188

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1174959423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 E STUART DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332656",
            "telephone_number": "276-235-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 COLEMAN LN",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243335643",
            "telephone_number": "276-235-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELTS SUPPORTS FOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "FELTS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "276-235-8188",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "2015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Galax, VA
• Providers in Galax, 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 Sep 18, 2013; 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.