Organization Active NPI

Family Connections, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Colliers, WV
National Provider Identifier
1366846016
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
13GR10 Issued in WV
Legal business name
FAMILY CONNECTIONS, INC.
Practice address
3305 Tent Church Road
Colliers, WV 26035
Phone
(304) 527-3303
Fax
(304) 527-3306
NPI assigned
Oct 9, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Miss Joanne E. Dobrzanski, MANPI 1598765299
Title
Executive Director
Phone
(304) 527-3303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Family Connections Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3305 Tent Church Rd
Colliers, WV 26035
Phone (304) 527-3303

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 13GR10 WV Primary

Addresses

NPPES NPI Registry

Primary practice location

3305 Tent Church Road
Colliers, WV 26035

Mailing address

PO Box 348
Colliers, WV 26035-0348
Phone (304) 527-3303

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0023528002MedicaidWV

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 9, 2014.

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1366846016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 348",
            "city": "COLLIERS",
            "state": "WV",
            "postal_code": "260350348",
            "telephone_number": "304-527-3303",
            "fax_number": "304-527-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 TENT CHURCH ROAD",
            "city": "COLLIERS",
            "state": "WV",
            "postal_code": "26035",
            "telephone_number": "304-527-3303",
            "fax_number": "304-527-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CONNECTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "DOBRZANSKI",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-527-3303",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "WV",
            "license": "13GR10",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023528002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colliers, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.