NPIMap

Organization Active NPI

Danville Pittsylvania Community Services

  • Intellectual Disabilities Intermediate Care Facility
  • Danville, VA
National Provider Identifier
1376042523
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
DANVILLE PITTSYLVANIA COMMUNITY SERVICES
Practice address
505 Keen St
Danville, VA 24540-4657
Phone
(434) 799-0456
NPI assigned
Feb 2, 2018
Organization subpart
Yes
Parent organization
DANVILLE PITTSYLVANIA COMMUNITY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Authorized official

Name
James Fredrick Bebeau
Title
Executive Director
Phone
(434) 799-0456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

505 Keen St
Danville, VA 24540-4657

Mailing address

245 Hairston St
Danville, VA 24540-4137
Phone (434) 799-0456

National Provider Directory

National Provider Directory
Tax ID family
Danville Pittsylvania C5 organizations share this tax ID, including this one
Part of
Danville Pittsylvania C

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1376042523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 HAIRSTON ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404137",
            "telephone_number": "434-799-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 KEEN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404657",
            "telephone_number": "434-799-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE PITTSYLVANIA COMMUNITY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DANVILLE PITTSYLVANIA COMMUNITY SERVICES",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "BEBEAU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FREDRICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "434-799-0456"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.