Organization Active NPI

Corum Human Services, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Winchester, VA
National Provider Identifier
1740581693
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
CORUM HUMAN SERVICES, LLC
Practice address
433 Lilys Way
Winchester, VA 22602-7686
Phone
(540) 542-1807
Fax
(540) 542-1807
NPI assigned
Nov 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Authorized official

Name
Mrs. Patricia A Corum-Kidd
Title
Ceo
Phone
(540) 336-0565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

433 Lilys Way
Winchester, VA 22602-7686

Mailing address

211 Farmington Blvd
Winchester, VA 22602-7648
Phone (540) 336-0565

National Provider Directory

National Provider Directory
Tax ID family
Corum Human Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1740581693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 FARMINGTON BLVD",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226027648",
            "telephone_number": "540-336-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 LILYS WAY",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226027686",
            "telephone_number": "540-542-1807",
            "fax_number": "540-542-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORUM HUMAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "CORUM-KIDD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-336-0565",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.