Family Extensions, LLC

Primary specialty

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

License

2030-01-001 Issued in VA

Legal business name

FAMILY EXTENSIONS, LLC

Practice address

779 Lesner Ave
Norfolk, VA 23518-2503

Phone

(757) 822-6337

Fax

(888) 704-5051

NPI assigned

Feb 28, 2017

Organization subpart

No

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

Authorized official

Name

Shernita Artis

Title

Ceo

Phone

(757) 822-6337

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1528508264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 LESNER AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235182503",
            "telephone_number": "757-822-6337",
            "fax_number": "888-704-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 LESNER AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235182503",
            "telephone_number": "757-822-6337",
            "fax_number": "888-704-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EXTENSIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "ARTIS",
        "authorized_official_first_name": "SHERNITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-822-6337"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "2030-01-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Norfolk, VA
• Providers in Norfolk, 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 Feb 28, 2017; 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.