NPIMap

Organization Active NPI

Danville-Pittsylvania Community Services

  • Intellectual Disabilities Intermediate Care Facility
  • Danville, VA
National Provider Identifier
1780052217
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
270-01-005 Issued in VA
Legal business name
DANVILLE-PITTSYLVANIA COMMUNITY SERVICES
Practice address
4769 Franklin Tpke
Danville, VA 24540-7807
Phone
(434) 799-0456
Fax
(434) 793-4201
NPI assigned
Sep 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Authorized official

Name
Mr. James F Bebeau, LPC
Title
Executive Director
Phone
(434) 799-0456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 270-01-005 VA Primary

Addresses

Primary practice location

4769 Franklin Tpke
Danville, VA 24540-7807

Mailing address

245 Hairston St
Danville, VA 24540-4137
Phone (434) 799-0456

National Provider Directory

National Provider Directory
Tax ID family
Danville Pittsylvania C5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

4769 Franklin Tpke
Danville, VA 24540
Phone (434) 799-0456

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1780052217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 HAIRSTON ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404137",
            "telephone_number": "434-799-0456",
            "fax_number": "434-793-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4769 FRANKLIN TPKE",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245407807",
            "telephone_number": "434-799-0456",
            "fax_number": "434-793-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE-PITTSYLVANIA COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "BEBEAU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "434-799-0456",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "VA",
            "license": "270-01-005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.