Faith Residential Services, Inc.

Primary specialty

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

License

679-01-001 Issued in VA

Legal business name

FAITH RESIDENTIAL SERVICES, INC.

Practice address

10112 Grove Crest CT
North Chesterfield, VA 23236-5531

Phone

(804) 276-6713

Fax

(804) 271-4802

NPI assigned

Oct 12, 2016

Last updated

Oct 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Regina EdwardsNPI 1780104935

Title

Owner

Phone

(804) 276-6713

Specialties & licenses 1

Addresses

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.

• Regina C Edwards

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • North Chesterfield, VA
  • NPI 1780104935

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past) Authorized official

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1609326750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10112 GROVE CREST CT",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232365531",
            "telephone_number": "804-276-6713",
            "fax_number": "804-271-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10112 GROVE CREST CT",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232365531",
            "telephone_number": "804-276-6713",
            "fax_number": "804-271-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-276-6713",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "679-01-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Expressions of Wellness, LLC
• Exquisite Touch Home Care LLC.
• Extra Special Parents, Inc.
• Fair Counseling, LLC
• Joshua Fair, LPC
• Faith to Fate Community Ministries (F2F LifeCare)
• Faith, Love & Hope Transportation LLC
• Julie Falge, MS, LAT, ATC
• Familu Transitions, Inc
• Family Counseling Center for Recovery

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Chesterfield, VA
• Providers in North Chesterfield, 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 Oct 12, 2016; 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.