NPIMap

Organization Active NPI

Rappahannock Area Community Services Board

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fredericksburg, VA
National Provider Identifier
1871992347
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
101-01-005 Issued in VA
Legal business name
RAPPAHANNOCK AREA COMMUNITY SERVICES BOARD
Practice address
5604 Ross Dr
Fredericksburg, VA 22407-5702
Phone
(540) 785-4909
Fax
(540) 785-4910
NPI assigned
Aug 20, 2014
Last updated
Sep 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Authorized official

Name
Ronald Wade Branscome
Title
Executive Director
Phone
(540) 899-4370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 101-01-005 VA Primary

Addresses

Primary practice location

5604 Ross Dr
Fredericksburg, VA 22407-5702

Mailing address

600 Jackson St
Fredericksburg, VA 22401-5719
Phone (540) 373-3223

Other identifiers 1

IdentifierTypeStateIssuer
C01242OtherVAMEDICARE PTAN NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Rappahannock Area Community Services Board5 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.

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1871992347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JACKSON ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015719",
            "telephone_number": "540-373-3223",
            "fax_number": "540-371-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604 ROSS DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224075702",
            "telephone_number": "540-785-4909",
            "fax_number": "540-785-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPPAHANNOCK AREA COMMUNITY SERVICES BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "BRANSCOME",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "540-899-4370"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "101-01-005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN NUMBER",
            "identifier": "C01242",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.