Poindexters Res Child Care Facility

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

18914001 Issued in VA

Legal business name

POINDEXTERS RES CHILD CARE FACILITY

Practice address

1102 Poindexter Lane
Bedford, VA 24523

Phone

(540) 586-0518

Fax

(540) 586-5448

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Gladys C Poindexter

Title

Owner Operator

Phone

(540) 586-0518

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477561827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 POINDEXTER LANE",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "24523",
            "telephone_number": "540-586-0518",
            "fax_number": "540-586-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 POINDEXTER LANE",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "24523",
            "telephone_number": "540-586-0518",
            "fax_number": "540-586-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINDEXTERS RES CHILD CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POINDEXTER",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "540-586-0518"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "18914001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bert M Peterson Jr., O.D.
• Wesley Fletcher Phillips III, LPC
• Pinnacle Therapies PLLC
• Adam Plaster, D.D.S.
• Laura Pfaff Podyma, LPTA
• David Lawrence Polk, D.D.S
• Theresa Anne Pollard, PHARM D
• Anthony Eugene Powell, L.P.C.
• Ainsley Reed Price, DPT, PT
• Michelle Price, LPC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Bedford, VA
• Providers in Bedford, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.