FAMILY CONNECTIONS, INC. (NPI# 1366846016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366846016 |
Entity Type | Organization |
Organization Name | FAMILY CONNECTIONS, INC. |
Practice Address |
3305 Tent Church Road Colliers WV 26035 |
Mailing Address |
Po Box 348 Colliers WV 26035-0348 |
Practice Telephone | 3045273303 |
Practice Fax Number | 3045273306 |
Mailing Telephone | 3045273303 |
Mailing Fax Number | 3045273306 |
Enumeration Date | 2014-10-09 |
Last Update Date | 2014-10-09 |
Authorized Official Name | MISS JOANNE E. DOBRZANSKI (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 3045273303 |
Authorized Official Credential | MA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 13GR10 | WV | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 0023528002 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326557307 | Family Connections, Inc. | Community/Behavioral Health | 280 S Harrison St Fl 2, East Orange, NJ 07018-1960 | 2017-09-22 |
1871012146 | Family Connections, Inc. | Community/Behavioral Health | 7 Glenwood Ave Ste 101&106, East Orange, NJ 07017-1055 | 2017-09-18 |
1659890838 | Family Connections, Inc. | Community/Behavioral Health | 395 S Center St, Orange, NJ 07050-3205 | 2017-09-19 |
1417476946 | Family Connections, Inc. | Clinic/Center | 395 S Center St, Orange, NJ 07050-3205 | 2017-09-15 |
1487002085 | Family Connections, Inc. | Counselor | 651 Colliers Way, Suite 412, Weirton, WV 26062-5053 | 2016-05-25 |
1972862563 | Family Connections, Inc. | Community/Behavioral Health | 395 S Center St, Orange, NJ 07050-3205 | 2012-05-16 |
1801152681 | Family Connections, Inc. | Community/Behavioral Health | 395 S Center St, Orange, NJ 07050-3205 | 2012-04-06 |
1528118247 | Family Connections, Inc. | Community/Behavioral Health | 395 S Center St, Orange, NJ 07050-3205 | 2007-01-12 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | FAMILY CONNECTIONS, INC. | 500 Willow Ave. Suite 305, Council Bluffs, IA 51503 |
Massachusetts Corporations | FAMILY CONNECTIONS, INC. | 390 Main St., Worcester, MA 01608 |
Street Address |
3305 TENT CHURCH ROAD |
City | COLLIERS |
State | WV |
Zip Code | 26035 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215253604 | Lisa Ann Flanigan | Licensed Practical Nurse | 23 Elson Run Rd, Colliers, WV 26035-1425 | 2010-04-11 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609383298 | Genesis Youth Crisis Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 413 Chestnut Street, Parsons, WV 26287 | 2018-01-04 |
1447622618 | The Children's Home Society of West Virginia, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 142 Cherry St, Daniels, WV 25832-9695 | 2015-10-27 |
1649664855 | Yale Academy LLC | Residential Treatment Facility, Emotionally Disturbed Children | 7 Crosswinds Dr, Fairmont, WV 26554-9193 | 2015-03-25 |
1427470277 | Burlington United Methodist Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5162 Us 220 North, Moorefield, WV 26836 | 2014-01-14 |
1164776589 | Mike Allen Beswick | Residential Treatment Facility, Emotionally Disturbed Children | 34 Potomac Crossway, Lewisburg, WV 24901-8900 | 2012-11-07 |
1730320060 | Golden Girl, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 999 B Street, Ceredo, WV 25507-0876 | 2009-03-17 |
1295972248 | Yore Academy, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 7 Crosswind Drive, Fairmont, WV 26554 | 2009-01-13 |
1215199336 | Braley & Thompson, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 12 Clotine St, Saint Albans, WV 25177-2509 | 2008-06-30 |
1366602039 | Board of Child Care, Wv | Residential Treatment Facility, Emotionally Disturbed Children | 715 Brown Rd, Martinsburg, WV 25404-7282 | 2008-06-16 |
1104086503 | Charles W. Cammack Children's Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 64 6th Ave W, Huntington, WV 25701-1751 | 2008-06-10 |
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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.