NPIMap

Organization Active NPI

Lutheran Family Services of Virginia, Inc.

  • Community/Behavioral Health Agency
  • Middletown, VA
National Provider Identifier
1386043594
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
272-02-029 Issued in VA
Legal business name
LUTHERAN FAMILY SERVICES OF VIRGINIA, INC.
Practice address
190 Mustang LN
Middletown, VA 22645-1722
Phone
(540) 450-2782
Fax
(540) 450-2783
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Ms. Freida M. King, BS
Title
Controller
Phone
(540) 562-8473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 272-02-029 VA Primary

Addresses

Primary practice location

190 Mustang LN
Middletown, VA 22645-1722

Mailing address

2609 McVitty Rd
Roanoke, VA 24018-3513
Phone (540) 562-8473

Other identifiers 1

IdentifierTypeStateIssuer
272-02-029MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Family Services of Virginia Inc32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Locations

190 Mustang Ln
Middletown, VA 22645

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1386043594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 MCVITTY RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183513",
            "telephone_number": "540-562-8473",
            "fax_number": "540-774-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MUSTANG LN",
            "city": "MIDDLETOWN",
            "state": "VA",
            "postal_code": "226451722",
            "telephone_number": "540-450-2782",
            "fax_number": "540-450-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN FAMILY SERVICES OF VIRGINIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "FREIDA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "540-562-8473",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "272-02-029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272-02-029",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.