NPIMap

Organization Active NPI

Fam 4 Life Services

  • Case Management Agency
  • North Dinwiddie, VA
National Provider Identifier
1700658416
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
FAM 4 LIFE SERVICES
Practice address
24308 Driver Rd
North Dinwiddie, VA 23803-8836
Phone
(804) 503-4857
NPI assigned
Oct 25, 2023
Last updated
Oct 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Latrina Hart, RPSSSNPI 1720710122
Title
Manager
Phone
(804) 503-4857

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

24308 Driver Rd
North Dinwiddie, VA 23803-8836

Mailing address

24308 Driver Rd
North Dinwiddie, VA 23803-8836
Phone (804) 503-4857

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1700658416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24308 DRIVER RD",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238038836",
            "telephone_number": "804-503-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24308 DRIVER RD",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238038836",
            "telephone_number": "804-503-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAM 4 LIFE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "LATRINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "804-503-4857",
        "authorized_official_credential": "RPSSS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Dinwiddie, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.