Intellectual Services Group, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

INTELLECTUAL SERVICES GROUP, LLC

Doing business as

TrustPoint Residential Services

Practice address

4813 Integrity CT
Fredericksburg, VA 22408-1891

Phone

(703) 906-3010

Fax

(540) 891-8114

NPI assigned

May 1, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Willie Nelson Jr.

Title

Administrator

Phone

(703) 906-3010

Specialties & licenses 1

Addresses

Other names 1

• TrustPoint Residential Services Doing business as

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1356962252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4813 INTEGRITY CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081891",
            "telephone_number": "703-906-3010",
            "fax_number": "540-891-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4813 INTEGRITY CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081891",
            "telephone_number": "703-906-3010",
            "fax_number": "540-891-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLECTUAL SERVICES GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-906-3010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TrustPoint Residential Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.