KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA, INC. (NPI# 1154501534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154501534 |
| Entity Type | Organization |
| Organization Name | KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA, INC. |
| Practice Address |
5100 Leesburg Pike Suite 302 Alexandria VA 22302-1000 |
| Mailing Address |
4085 Independence Dr Schnecksville PA 18078-2574 |
| Practice Telephone | 8008543123 |
| Practice Fax Number | 6107998318 |
| Mailing Telephone | 6107998343 |
| Mailing Fax Number | 6107998318 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2010-08-18 |
| Authorized Official Name | MR. MICHAEL W. SLACK (EXEC VP FOR MARKETING & BUSINESS) |
| Authorized Official Telephone | 6107998405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 0200344 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679932040 | Kidspeace National Centers of North America, Inc. | Foster Care Agency | 200 Aaron Ct, Kingston, NY 12401-2963 | 2016-02-15 |
| 1518326982 | Kidspeace National Centers of North America, Inc. | Foster Care Agency | 2 Greentown Rd, Buchanan, NY 10511-1007 | 2016-02-15 |
| 1104285576 | Kidspeace National Centers of North America, Inc. | Foster Care Agency | 2801 Wehrle Dr Ste 13-14, Williamsville, NY 14221-7381 | 2016-02-15 |
| 1023355013 | Kidspeace National Centers of North America, Inc. | Community/Behavioral Health | 3109 Poplarwood Ct Ste 310, Raleigh, NC 27604-1025 | 2013-01-10 |
| 1043484744 | Kidspeace National Centers of North America, Inc. | Assisted Living Facility | 3604 Macon Rd Ste 3, Columbus, GA 31907-8221 | 2008-04-15 |
| 1487828182 | Kidspeace National Centers of North America, Inc. | Assisted Living Facility | 2080 Sugarloaf Pkwy Ste 120-130, Lawrenceville, GA 30045-9401 | 2008-04-15 |
| 1366802241 | Kidspeace National Centers of North America, Inc. | Foster Care Agency | 2 Greentown Rd, Buchanan, NY 10511-1007 | 2016-03-04 |
| 1033452560 | Kidspeace National Centers of North America, Inc. | Community/Behavioral Health | 3109 Poplarwood Ct Ste 310, Raleigh, NC 27604-1025 | 2013-04-03 |
| 1124362819 | Kidspeace National Centers of North America, Inc. | Community/Behavioral Health | 2711 Breezewood Ave Fl 1, Fayetteville, NC 28303-5526 | 2012-11-19 |
| 1740547603 | Kidspeace National Centers of North America, Inc. | Community/Behavioral Health | 3710 University Dr, Suite 200, Durham, NC 27707-6203 | 2012-04-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA, INC. | 80 State Street, Albany, Ny 122072543 |
| Street Address |
5100 LEESBURG PIKE SUITE 302 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22302-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245708288 | Jessica Frances Porzel | Nurse Practitioner | 4700 King St # 100, Alexandria, VA 22302 | 2018-11-07 |
| 1649696584 | Tiffany Edwards | General Acute Care Hospital | 3430 Larchmont Avenue Apt 541, Alexandria, VA 22302 | 2014-03-17 |
| 1396051744 | Cyndi Chan Lam | Pharmacist | 3614 King Street, Alexandria, VA 22302 | 2010-08-24 |
| 1871746206 | Carol Anne Burgess | Nurse Anesthetist, Certified Registered | 4216 King St, Alexandria, VA 22302 | 2008-10-29 |
| 1497907711 | Stephen Xavier Giunta | Plastic Surgery | 4216 King Street, King Street West Office Park, Alexandria, VA 22302 | 2008-10-17 |
| 1386892800 | Dr. Catherine P. Nguyen P.C. | Dentist | 5142 Leesburg Pike, Alexandria, VA 22302 | 2008-09-09 |
| 1013172972 | Dr. Tarek Ashmawy Dds | Clinic/Center | 5136 Leesburg Pike, Chantilly, VA 22302 | 2008-07-21 |
| 1346363769 | Robert Bregman | Pediatrics | 4480 King St., Alex Health Dept, Alexandria, VA 22302 | 2007-04-09 |
| 1356460331 | Integrated Medical Care and Rehab.,pc | Physical Medicine & Rehabilitation | 4600 King Street, Suite 4r, Alexandria, VA 22302 | 2007-03-28 |
| 1205917200 | Roma White Farge | Social Worker | 2202 Minor Street, Alexandria, VA 22302 | 2006-10-17 |
| Find all providers in zip 22302 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1497215461 | Pinnacle Community Services | Assisted Living Facility | 9001 Weems Rd, Manassas, VA 20110-4962 | 2019-03-25 |
| 1154847382 | Jeremy Scott Leach | Assisted Living Facility | 913 Bull Run, Staunton, VA 24401-1987 | 2017-08-18 |
| 1770003535 | Tiffanie Manor for Young Adults | Assisted Living Facility | 115 N Jefferson St, Richmond, VA 23220-5021 | 2017-06-22 |
| 1427588227 | Mental Wellness Residential | Assisted Living Facility | 1420 Spruce Street Extrension, Martinsville, VA 24412 | 2017-06-14 |
| 1588018071 | Arlington Voa Alr Operating, Inc. | Assisted Living Facility | 2000 5th St S, Arlington, VA 22204-1902 | 2016-04-20 |
| 1629476650 | God's Missing Angel's LLC | Assisted Living Facility | 301 Croft Xing, Chesapeake, VA 23320-7006 | 2014-12-08 |
| 1699941294 | Living Waters - Timberville | Assisted Living Facility | 379 N Main St, Timberville, VA 22853-9319 | 2008-05-02 |
| 1518133115 | Living Waters Care of Staunton | Assisted Living Facility | 403 N Coalter St, Staunton, VA 24401-3464 | 2008-05-02 |
| 1881813517 | Smith's Home for Adults | Assisted Living Facility | 16069 Martinsville Hwy, Axton, VA 24054-1973 | 2007-04-24 |
| 1548879729 | The Ataveus Cash Legacy Foundation | Assisted Living Facility | 8527 Orcutt Ave, Newport News, VA 23605-1417 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 22302 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.