Extra Special Parents, Inc.

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

EXTRA SPECIAL PARENTS, INC.

Practice address

711 N Courthouse Rd
North Chesterfield, VA 23236-4045

Phone

(804) 538-0239

Fax

(804) 714-1769

NPI assigned

Jul 14, 2021

Last updated

Jul 14, 2021By 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. Amy H Lucy

Title

Director of HR and Contracts

Phone

(804) 538-0239

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Carter Taylor Gordon, LCSW

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1619379591
  NPD (past)

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1881266393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N COURTHOUSE RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232364045",
            "telephone_number": "804-538-0239",
            "fax_number": "804-714-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N COURTHOUSE RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232364045",
            "telephone_number": "804-538-0239",
            "fax_number": "804-714-1769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1344 Maple Ave SW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240164914",
            "country_code": "US",
            "telephone_number": "540-981-1776",
            "fax_number": "540-981-1770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXTRA SPECIAL PARENTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "LUCY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR OF HR AND CONTRACTS",
        "authorized_official_telephone_number": "804-538-0239",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "API NUMBER",
            "identifier": "0103416472",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foster Care Agency in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Foster Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.