Active NPI
Free Will Baptist Family Ministries
Doing business as Victory Boys' Home
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Norton, VA
National Provider Identifier
1871672295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- SS-139-05
- Legal business name
- FREE WILL BAPTIST FAMILY MINISTRIES
- Doing business as
- Victory Boys' Home
- Practice address
- 844 Virginia Ave NW
Norton, VA 24273-1919 - Phone
- (276) 679-7284
- Fax
- (276) 670-0060
- NPI assigned
- Nov 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Kilgore, PH.D.
- Title
- Chief Executive Officer
- Phone
- (423) 639-9449
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | SS-139-05 | VA | Primary |
Addresses
Primary practice location
844 Virginia Ave NW
Norton, VA 24273-1919
Mailing address
844 Virginia Ave NW
Norton, VA 24273-1919
Phone (276) 679-7284
Other names 1
- Victory Boys' Home
National Provider Directory
National Provider Directory- Tax ID family
- Free Will Baptist Family Ministries
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Bristol Boys Home
- Mental Illness Community Based Residential Treatment Facility
- Bristol, VA
- NPI 1538269915
-
- Mental Illness Community Based Residential Treatment Facility
- Greeneville, TN
- NPI 1023394186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1871672295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "844 VIRGINIA AVE NW",
"city": "NORTON",
"state": "VA",
"postal_code": "242731919",
"telephone_number": "276-679-7284",
"fax_number": "276-670-0060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "844 VIRGINIA AVE NW",
"city": "NORTON",
"state": "VA",
"postal_code": "242731919",
"telephone_number": "276-679-7284",
"fax_number": "276-670-0060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREE WILL BAPTIST FAMILY MINISTRIES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KILGORE",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "423-639-9449",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "VA",
"license": "SS-139-05",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Victory Boys' Home",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Norton, VA
- Family Preservation Services, Inc
- Samuel Lee Farmer
- Charlene M Farthing, P.A.-C
- First Choice Home Health Care, Inc.
- Leutshia C Franks, NP
- James Everette Freeman Jr.
- Roseann J Freundel, DO
- Frontier Health (Hawthorne Place)
- Frontier Health (Wise County Behavioral Health Services)
- Kristina Gardner, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.