Hallie Cornelia Thaxton, BS

Primary specialty

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

Practice address

389 Homeplace Rd
Rustburg, VA 24588-3792

Phone

(434) 942-2298

Fax

(434) 616-2377

NPI assigned

Aug 9, 2023

Last updated

Aug 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compassionate Connections Sponsored Residential Services LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Concord, VA
  • NPI 1306699855

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1396428900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 HOMEPLACE RD",
            "city": "RUSTBURG",
            "state": "VA",
            "postal_code": "245883792",
            "telephone_number": "434-942-2298",
            "fax_number": "434-616-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 HOMEPLACE RD",
            "city": "RUSTBURG",
            "state": "VA",
            "postal_code": "245883792",
            "telephone_number": "434-942-2298",
            "fax_number": "434-616-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAXTON",
        "first_name": "HALLIE",
        "middle_name": "CORNELIA",
        "name_prefix": "Ms.",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "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": []
}

• Chris Wayne Stevens
• Joseph Strasshofer
• Alexandra M Sullivan, PHYSICAL THERAPIST
• Kenneth Swanson, NP
• Thomas Aaron Tascone, B.C.P.C.
• Theresa Moon
• Tamara Tinnin, DNP APRN CPNP-PC
• Patrick M Todd, DDS
• Danielle Torres
• Angela B Vendetti

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Rustburg, VA
• Providers in Rustburg, 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 Aug 9, 2023; 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.