Organization Active NPI

Reese Family Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Newport News, VA
National Provider Identifier
1538538285
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
2207 Issued in VA
Legal business name
REESE FAMILY SERVICES
Practice address
714 J Clyde Morris Blvd Ste 180
Newport News, VA 23601-1535
Phone
(757) 435-5297
Fax
(757) 594-0028
NPI assigned
Sep 23, 2015
Organization subpart
Yes
Parent organization
REESE FAMILY SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Lashaunda Reese, LPC
Title
Chief Executive Officer
Phone
(757) 435-5297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 2207 VA Primary

Addresses

Primary practice location

714 J Clyde Morris Blvd Ste 180
Newport News, VA 23601-1535

Mailing address

331 Bexley Park Way
Newport News, VA 23608
Phone (757) 435-5297

Other identifiers 1

IdentifierTypeStateIssuer
1316361736MedicaidVA

Other names 1

  • Supportive In-home Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Reese Family Services2 organizations share this tax ID, including this one
Part of
Reese Family Services

Other organizations with this tax ID 1

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

Locations

714 J Clyde Morris Blvd
Ste 180
Newport News, VA 23601
Phone (757) 435-5297

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1538538285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 BEXLEY PARK WAY",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23608",
            "telephone_number": "757-435-5297",
            "fax_number": "757-594-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 J CLYDE MORRIS BLVD STE 180",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011535",
            "telephone_number": "757-435-5297",
            "fax_number": "757-594-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REESE FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REESE FAMILY SERVICES, LLC",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "LASHAUNDA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "757-435-5297",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "2207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316361736",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supportive In-home Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.