Fammat (Family Matters) Services LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

666-03-001 Issued in VA

Legal business name

FAMMAT (FAMILY MATTERS) SERVICES LLC

Practice address

813 Forrest Dr
Suite 1
Newport News, VA 23606-4513

Phone

(757) 223-9177

Fax

(757) 240-4091

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence Antonio Gholson II

Title

Chief Executive Officer

Phone

(757) 223-9177

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982703708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 FORREST DR",
            "address_2": "SUITE 1",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064513",
            "telephone_number": "757-223-9177",
            "fax_number": "757-240-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 FORREST DR",
            "address_2": "SUITE 1",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064513",
            "telephone_number": "757-223-9177",
            "fax_number": "757-240-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMMAT (FAMILY MATTERS) SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GHOLSON",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "757-223-9177",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "666-03-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.

Verify at the official NPI Registry.