Active NPI
Reese Family Services
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Newport News, VA
National Provider Identifier
1538538285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 2207
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316361736 | Medicaid | VA |
Other names 1
- Supportive In-home Services
National Provider Directory
National Provider Directory- Tax ID family
- Reese Family Services
- 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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Newport News, VA
- NPI 1316361736
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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Newport News, VA
- NPI 1316361736
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.