Active NPI
FC of Virginia Inc
- Home Health Agency
- Staunton, VA
National Provider Identifier
1730161365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- FC OF VIRGINIA INC
- Practice address
- 106 Rowe Rd
#103
Staunton, VA 24401-6714 - Phone
- (540) 886-0342
- Fax
- (540) 886-0962
- NPI assigned
- Nov 18, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul D Foster
- Title
- Ceo
- Phone
- (214) 445-3750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
106 Rowe Rd
#103
Staunton, VA 24401-6714
Mailing address
4055 Valley View LN
5TH Floor
Dallas, TX 75244-5074
Phone (214) 445-3750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010093724 | Medicaid | VA |
Other names 1
- Intrepid USA Healthcare Services
National Provider Directory
National Provider DirectoryLocations
106 Rowe Rd
Ste 103
Staunton, VA 24401
Phone (540) 569-3431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461110400000",
"number": "1730161365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4055 VALLEY VIEW LN",
"address_2": "5TH FLOOR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752445074",
"telephone_number": "214-445-3750",
"fax_number": "214-445-3902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 ROWE RD",
"address_2": "#103",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244016714",
"telephone_number": "540-886-0342",
"fax_number": "540-886-0962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FC OF VIRGINIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-18",
"last_updated": "2016-04-20",
"status": "A",
"authorized_official_last_name": "FOSTER",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "214-445-3750",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010093724",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Intrepid USA Healthcare Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Staunton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.