Corum Human Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

1712-01-001 Issued in VA

Legal business name

CORUM HUMAN SERVICES LLC

Practice address

433 Lilys Way
Winchester, VA 22602-7686

Phone

(540) 662-3438

Fax

(540) 542-1807

NPI assigned

May 2, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Ann Corum-Kidd

Title

Owner

Phone

(540) 662-3438

Specialties & licenses 1

Addresses

Tax ID family

Corum Human Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Corum Human Services, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Winchester, VA
  • NPI 1740581693
  NPD tax ID

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1609286483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 FARMINGTON BLVD",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226027648",
            "telephone_number": "540-662-3438",
            "fax_number": "540-542-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 LILYS WAY",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226027686",
            "telephone_number": "540-662-3438",
            "fax_number": "540-542-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORUM HUMAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "CORUM-KIDD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-662-3438",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "1712-01-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Ann Corl, NP-C
• Gwen Humphrey Corley, LCSW
• Jessica N Corley
• Cornerstone Sports and Orthopaedic Surgery of Winchester PC
• Kara Correll, CNP
• Corum Human Services, LLC
• Heidy Cos Felipe
• Susan Lisa Cosenza
• Cosmosurge PLLC
• Annamaria Florence Costanzo

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Winchester, VA
• Providers in Winchester, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.