Parc Workshop, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

60602006 Issued in VA

Legal business name

PARC WORKSHOP, INC.

Practice address

674 Johnson St
Stuart, VA 24171-4001

Phone

(276) 694-4211

Fax

(276) 694-2916

NPI assigned

Jul 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Henry Gale Ayers

Title

Executive Director

Phone

(276) 694-4211

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265462097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 JOHNSON ST",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241714001",
            "telephone_number": "276-694-4211",
            "fax_number": "276-694-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 JOHNSON ST",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241714001",
            "telephone_number": "276-694-4211",
            "fax_number": "276-694-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARC WORKSHOP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "GALE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "276-694-4211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "60602006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SERVICE LICENSE #",
            "identifier": "606-02-006",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Stuart, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• 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.