NPIMap

Organization Active NPI

Familylife Services I, LLC

  • Developmentally Disabled Services Day Training Agency
  • Henrico, VA
National Provider Identifier
1982153912
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
462-01-001 Issued in VA
Legal business name
FAMILYLIFE SERVICES I, LLC
Practice address
1296 Concord Ave
Henrico, VA 23228-6518
Phone
(804) 266-6662
NPI assigned
Oct 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Mrs. Lolita Jones Epps
Title
Partner/Mental Health Therapist
Phone
(804) 833-5523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 462-01-001 VA Primary

Addresses

Primary practice location

1296 Concord Ave
Henrico, VA 23228-6518

Mailing address

1296 Concord Ave
Henrico, VA 23228-6518

Other identifiers 1

IdentifierTypeStateIssuer
0049422485MedicaidVA

National Provider Directory

National Provider Directory

Locations

1296 Concord Ave
Richmond, VA 23228
Phone (804) 266-6662

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1982153912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 CONCORD AVE",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232286518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 CONCORD AVE",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232286518",
            "telephone_number": "804-266-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILYLIFE SERVICES I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "EPPS",
        "authorized_official_first_name": "LOLITA",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "PARTNER/MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "804-833-5523",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "462-01-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0049422485",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.