Active NPI
Faithways Direction Support Services, LLC
- Case Manager/Care Coordinator
- Richmond, VA
National Provider Identifier
1568872158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- 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, 2014
- 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
- Shameka Lavonda White
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0173886497 | Medicaid | VA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Social Worker
- Chesapeake, VA
- NPI 1861094526
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.