Organization Active NPI

Foundations Family Services LLC

  • Developmentally Disabled Services Day Training Agency
  • Petersburg, VA
National Provider Identifier
1558233189
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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

Updated by the provider on Sep 23, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.