Fundamental Community Care Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FUNDAMENTAL COMMUNITY CARE SERVICES, LLC

Practice address

3145 Welsh Cir
Richmond, VA 23223-2180

Phone

(804) 933-5115

NPI assigned

May 2, 2023

Organization subpart

No

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

Authorized official

Name

Matiqua Carter

Title

Ceo

Phone

(804) 933-5115

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1245929611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 WELSH CIR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232232180",
            "telephone_number": "804-933-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 WELSH CIR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232232180",
            "telephone_number": "804-933-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNDAMENTAL COMMUNITY CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "MATIQUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-933-5115"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlene Fultz, NP
• Brandi Michelle Fulwider
• Cecile Marie Fumagali, DDS
• Andrea Crowe Funai, R.N., N.P.
• Sharon Kay Funari, PH.D.
• Kimberly Funkhouser, PT, DPT
• Elizabeth Noel Fuqua, L.AC.
• Odette Furgeson Redguard
• Pedro Furlan Silott, MD
• Stanley N Furman, MD

• Community/Behavioral Health Agency in Richmond, VA
• Providers in Richmond, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.