NPIMap

Organization Active NPI

Lutheran Family Service of VA

  • Community/Behavioral Health Agency
  • Bristol, VA
National Provider Identifier
1730693276
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
272 Issued in VA
Legal business name
LUTHERAN FAMILY SERVICE OF VA
Practice address
1225 Jani Hammit Dr
Bristol, VA 24201-4880
Phone
(276) 494-0539
Fax
(276) 494-0538
NPI assigned
Nov 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
El-Freida Mae King
Title
Controller
Phone
(540) 562-8473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 272 VA Primary

Addresses

Primary practice location

1225 Jani Hammit Dr
Bristol, VA 24201-4880

Mailing address

2609 McVitty Rd
Roanoke, VA 24018-3513
Phone (540) 562-8473

Other identifiers 1

IdentifierTypeStateIssuer
272MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Family Services of Virginia Inc32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Locations

150 Janie Hammitt Dr
Bristol, VA 24201
Phone (276) 494-0539

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1730693276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 MCVITTY RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183513",
            "telephone_number": "540-562-8473",
            "fax_number": "541-774-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 JANI HAMMIT DR",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242014880",
            "telephone_number": "276-494-0539",
            "fax_number": "276-494-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN FAMILY SERVICE OF VA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "EL-FREIDA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "540-562-8473"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.