United Friends, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

808 Issued in VA

Legal business name

UNITED FRIENDS, LLC

Practice address

24 S Main St
Chase City, VA 23924-1908

Phone

(434) 372-1860

Fax

(434) 372-0394

NPI assigned

Oct 4, 2013

Last updated

Oct 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tiffany Tillerson Terry

Title

QMRP

Phone

(434) 372-0407

Specialties & licenses 1

Addresses

Other names 1

• Day Support Other name

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1831526847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4883 HWY 47",
            "city": "CHASE CITY",
            "state": "VA",
            "postal_code": "239243606",
            "telephone_number": "434-372-0407",
            "fax_number": "434-372-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S MAIN ST",
            "city": "CHASE CITY",
            "state": "VA",
            "postal_code": "239241908",
            "telephone_number": "434-372-1860",
            "fax_number": "434-372-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED FRIENDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "TILLERSON",
        "authorized_official_title_or_position": "QMRP",
        "authorized_official_telephone_number": "434-372-0407",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Day Support",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Chase City, VA
• Providers in Chase City, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.