2300 Angus LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Charlottesville, VA
NPI 1992292346 · NPPES record last updated Apr 20, 2018
Key facts
- NPI
- 1992292346
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- License
- CRF-317 (VA)
- Legal business name
- 2300 ANGUS LLC
- Practice address
- 2300 Angus Rd
Charlottesville, VA 22901-2630 - Phone
- (434) 970-1904
- Fax
- (434) 970-2044
- NPI assigned
- Apr 20, 2018
- Organization subpart
- No
Authorized official
- Name
- Debbie Murray
- Title
- Finanace Manager
- Phone
- (434) 970-1904
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | CRF-317 | VA | Yes |
Addresses
Primary practice location
2300 Angus Rd
Charlottesville, VA 22901-2630
Mailing address
517 Park St
Charlottesville, VA 22902-4739
Phone (434) 970-1904
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600894797 | Medicaid | VA |
Other providers in Charlottesville, VA
All providers in Charlottesville, VA · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.