NPIMap

Organization Active NPI

Elk Hill Farm, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Goochland, VA
National Provider Identifier
1346418316
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
SS19405 Issued in VA
Legal business name
ELK HILL FARM, INC.
Practice address
1975 Elk Hill Road
Goochland, VA 23063
Phone
(804) 457-4866
Fax
(804) 457-2830
NPI assigned
Feb 13, 2008
Last updated
Feb 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Mr. Michael C Farley, MS
Title
Executive Director
Phone
(804) 457-4866

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X SS19405 VA Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X SS25005 VA
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X SS38007 VA

Addresses

Primary practice location

1975 Elk Hill Road
Goochland, VA 23063

Mailing address

PO Box 99
Goochland, VA 23063-0099
Phone (804) 457-4866

National Provider Directory

National Provider Directory

Locations

1975 Elk Hill Rd
Goochland, VA 23063
Phone (804) 457-4866

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1346418316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "GOOCHLAND",
            "state": "VA",
            "postal_code": "230630099",
            "telephone_number": "804-457-4866",
            "fax_number": "804-457-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 ELK HILL ROAD",
            "city": "GOOCHLAND",
            "state": "VA",
            "postal_code": "23063",
            "telephone_number": "804-457-4866",
            "fax_number": "804-457-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK HILL FARM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-457-4866",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "VA",
            "license": "SS19405",
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "VA",
            "license": "SS25005",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "VA",
            "license": "SS38007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goochland, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.