NPIMap

Organization Active NPI

Jackson Feild Homes

  • Psychiatric Residential Treatment Facility
  • Jarratt, VA
National Provider Identifier
1578720397
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
1376 Issued in VA
Legal business name
JACKSON FEILD HOMES
Practice address
546 Walnut Grove Dr
Jarratt, VA 23867-8611
Phone
(434) 634-3217
Fax
(434) 348-3417
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Authorized official

Name
Mr. Robert E Crane
Title
Chief Financial Officer
Phone
(434) 634-3217

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 278-05 VA
Psychiatric Residential Treatment Facility 323P00000X 1376 VA Primary

Addresses

Primary practice location

546 Walnut Grove Dr
Jarratt, VA 23867-8611

Mailing address

546 Walnut Grove Dr
Jarratt, VA 23867-8611
Phone (434) 634-3217

Other identifiers 1

IdentifierTypeStateIssuer
1578720397MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Jackson Feild Homes4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

546 Walnut Grove Dr
Jarratt, VA 23867
Phone (434) 634-3217

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1578720397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 WALNUT GROVE DR",
            "city": "JARRATT",
            "state": "VA",
            "postal_code": "238678611",
            "telephone_number": "434-634-3217",
            "fax_number": "434-348-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 WALNUT GROVE DR",
            "city": "JARRATT",
            "state": "VA",
            "postal_code": "238678611",
            "telephone_number": "434-634-3217",
            "fax_number": "434-348-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON FEILD HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "434-634-3217",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "VA",
            "license": "278-05",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "VA",
            "license": "1376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578720397",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jarratt, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.