NPIMap

Organization Active NPI

Danville-Pittsylvania Community Services

  • Intellectual Disabilities Intermediate Care Facility
  • Danville, VA
National Provider Identifier
1831425602
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
270-01-001 Issued in VA
Legal business name
DANVILLE-PITTSYLVANIA COMMUNITY SERVICES
Practice address
504 Middle Street
Danville, VA 24540-4614
Phone
(434) 792-2789
Fax
(434) 793-4201
NPI assigned
Oct 28, 2009
Last updated
Sep 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Mr. James F. Bebeau Jr., LPCNPI 1598758773
Title
Executive Director
Phone
(434) 799-0456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 270-01-001 VA Primary

Addresses

Primary practice location

504 Middle Street
Danville, VA 24540-4614

Mailing address

245 Hairston Street
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

504 Middle St
Danville, VA 24540
Phone (434) 792-2789

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": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1831425602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 HAIRSTON STREET",
            "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": "504 MIDDLE STREET",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404614",
            "telephone_number": "434-792-2789",
            "fax_number": "434-793-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE-PITTSYLVANIA COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2015-09-10",
        "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_name_suffix": "Jr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "VA",
            "license": "270-01-001",
            "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 10, 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.