Organization Active NPI

Family Advocacy Services, LLC.

  • Local Education Agency (LEA)
  • Capitol Heights, MD
National Provider Identifier
1629116892
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
3819 Issued in MD
Legal business name
FAMILY ADVOCACY SERVICES, LLC.
Doing business as
Florence Bertell Academy - PG
Practice address
8601 Ashwood Dr
Capitol Heights, MD 20743-3721
Phone
(301) 333-0820
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mrs. Paulette Wallen-Jones
Title
Ar Coordinator
Phone
(443) 543-2116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 3819 MD Primary

Addresses

Primary practice location

8601 Ashwood Dr
Capitol Heights, MD 20743-3721

Mailing address

5720 Executive Dr
Baltimore, MD 21228-1757
Phone (443) 543-2116

Other identifiers 1

IdentifierTypeStateIssuer
450910201MedicaidMD

Other names 1

  • Florence Bertell Academy - PG Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Advocacy Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

8601 Ashwood Dr
Capitol Heights, MD 20743
Phone (301) 333-0820

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1629116892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 EXECUTIVE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212281757",
            "telephone_number": "443-543-2116",
            "fax_number": "443-543-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 ASHWOOD DR",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207433721",
            "telephone_number": "301-333-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ADVOCACY SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "WALLEN-JONES",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "AR COORDINATOR",
        "authorized_official_telephone_number": "443-543-2116",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MD",
            "license": "3819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "450910201",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florence Bertell Academy - PG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Capitol Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.