Organization Active NPI

Faithways Direction Support Services, LLC

  • Case Manager/Care Coordinator
  • Richmond, VA
National Provider Identifier
1568872158
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
FAITHWAYS DIRECTION SUPPORT SERVICES, LLC
Practice address
2443 Tignor Rd
Richmond, VA 23224-6185
Phone
(804) 840-8446
NPI assigned
May 5, 2014
Last updated
May 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
Shameka Lavonda WhiteNPI 1861094526
Title
Owner
Phone
(804) 840-8446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

2443 Tignor Rd
Richmond, VA 23224-6185

Mailing address

2443 Tignor Rd
Richmond, VA 23224-6185
Phone (804) 840-8446

Other identifiers 1

IdentifierTypeStateIssuer
0173886497MedicaidVA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1568872158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 TIGNOR RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232246185",
            "telephone_number": "804-840-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2443 TIGNOR RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232246185",
            "telephone_number": "804-840-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHWAYS DIRECTION SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SHAMEKA",
        "authorized_official_middle_name": "LAVONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-840-8446"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0173886497",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.