Organization Active NPI

Kingsville Family Services

  • Home Health Agency
  • Farmville, VA
National Provider Identifier
1467949479
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO-1826 Issued in VA
Legal business name
KINGSVILLE FAMILY SERVICES
Practice address
201 N Main St
Farmville, VA 23901-1300
Phone
(434) 395-1079
NPI assigned
Apr 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Authorized official

Name
Mr. Javor JohnsonNPI 1356940456
Title
Owner
Phone
(434) 234-2410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO-1826 VA Primary

Addresses

Primary practice location

201 N Main St
Farmville, VA 23901-1300

Mailing address

201 N Main St
Farmville, VA 23901-1300
Phone (434) 395-1079

National Provider Directory

National Provider Directory
Tax ID family
Kingsville Family Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1467949479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MAIN ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011300",
            "telephone_number": "434-395-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MAIN ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011300",
            "telephone_number": "434-395-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSVILLE FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAVOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-234-2410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-1826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.