Family Services Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

2013 Issued in VA

Legal business name

FAMILY SERVICES INC.

Practice address

1045 Gustavo Lane
Petersburg, VA 23805

Phone

(804) 898-7177

Fax

(804) 895-6487

NPI assigned

Jan 6, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Courtney Kemp Curtis

Title

President

Phone

(804) 898-7177

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1245652544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 GUSTAVO LANE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23805",
            "telephone_number": "804-898-7177",
            "fax_number": "804-895-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 GUSTAVO LANE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23805",
            "telephone_number": "804-898-7177",
            "fax_number": "804-895-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "KEMP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-898-7177",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "VA",
            "license": "2013",
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2013",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Health Maintenance Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.