Foundational Community Service

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FOUNDATIONAL COMMUNITY SERVICE

Practice address

2018 E 3Rd Ave
Port Angeles, WA 98362-8705

Phone

(360) 810-9911

NPI assigned

Apr 11, 2024

Organization subpart

No

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

Authorized official

Name

Amanda M Van Roberts

Title

Owner

Phone

(310) 579-7865

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1346094943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 E 3RD AVE",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983628705",
            "telephone_number": "360-810-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 E 3RD AVE",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983628705",
            "telephone_number": "360-810-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONAL COMMUNITY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "VAN ROBERTS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-579-7865"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara E Folden, MSW
• Jessica Ann Foley, CDPT
• Diane Marie Forsmark, RDH
• Emily Fosnes
• Paige Marie Foth
• Timothy Joseph Fountain
• Danielle Bullard Fox, PA-C
• Hailey Fox, CHW
• Katelyn Fox
• Lyell Elizabeth Fox, ARNP

• Case Management Agency in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Case Management Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.