FSC VA, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FSC VA, LLC

Doing business as

Faithful Servants Care

Practice address

3113 Littlebury Dr
Chester, VA 23831-7108

Phone

(804) 302-4477

Fax

(804) 302-4474

NPI assigned

Feb 22, 2024

Last updated

May 21, 2024By 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

Mrs. Joy J Johnson

Title

Administrator

Phone

(804) 302-4477

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Faithful Servants Care Doing business as

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1366208829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 LITTLEBURY DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238317108",
            "telephone_number": "804-302-4477",
            "fax_number": "804-302-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 LITTLEBURY DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238317108",
            "telephone_number": "804-302-4477",
            "fax_number": "804-302-4474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10488 Jordan Pkwy",
            "address_purpose": "LOCATION",
            "city": "North Prince George",
            "state": "VA",
            "postal_code": "238608200",
            "country_code": "US",
            "telephone_number": "804-302-4477",
            "fax_number": "804-302-4474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FSC VA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-302-4477",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306388483",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faithful Servants Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Faithful Servants Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Chandler Fowler
• Beth A Freedman, ATC
• Katri Ann French, FNP-BC
• James Thomas Frizzelle Jr., PA-C
• Frontline Crisis Stabilization, LLC.
• Tina Fulcher
• Full Circle Services LLC
• Olando Wayne Fuller, QMHP
• G.O.a.L.S Mental Health Services, LLC
• Bridget Gallahan

• In Home Supportive Care Agency in Chester, VA
• Providers in Chester, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.