Active NPI
Foundations Family Services LLC
- Developmentally Disabled Services Day Training Agency
- Petersburg, VA
National Provider Identifier
1558233189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- FOUNDATIONS FAMILY SERVICES LLC
- Practice address
- 102 N Sycamore St Ste B
Petersburg, VA 23803-3245 - Phone
- (804) 901-3978
- NPI assigned
- Sep 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gayle Candise Nicholas
- Title
- Chief Executive Officer
- Phone
- (804) 901-3978
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
102 N Sycamore St Ste B
Petersburg, VA 23803-3245
Mailing address
102 N Sycamore St Ste B
Petersburg, VA 23803-3245
Phone (804) 901-3978
National Provider Directory
National Provider DirectoryLocations
102 N Sycamore St
Ste B
Petersburg, VA 23803
Phone (804) 901-3978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758585600000",
"number": "1558233189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 N SYCAMORE ST STE B",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238033245",
"telephone_number": "804-901-3978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 N SYCAMORE ST STE B",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238033245",
"telephone_number": "804-901-3978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUNDATIONS FAMILY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-23",
"last_updated": "2025-09-23",
"certification_date": "2025-09-22",
"status": "A",
"authorized_official_last_name": "NICHOLAS",
"authorized_official_first_name": "GAYLE",
"authorized_official_middle_name": "CANDISE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "804-901-3978"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.