FAMILY PRESERVATION SERVICES, INC (NPI# 1851476584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851476584 |
| Entity Type | Organization |
| Organization Name | FAMILY PRESERVATION SERVICES, INC |
| Practice Address |
12718 Moneta Rd Bedford VA 24121 |
| Mailing Address |
10304 Spotsylvania Ave Suite 300 Fredericksburg VA 22408-8602 |
| Practice Telephone | 5407106085 |
| Practice Fax Number | 5407106419 |
| Mailing Telephone | 5407106085 |
| Mailing Fax Number | 5407106419 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL FIDGEON (CEO) |
| Authorized Official Telephone | 5407106085 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 15802029 | VA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124518105 | Family Preservation Services, Inc | Community/Behavioral Health | 3710 Churchville Ave, Churchville, VA 24421-2500 | 2018-05-15 |
| 1689186090 | Family Preservation Services, Inc | Community/Behavioral Health | 6328 Merriman Rd, Roanoke, VA 24018-6624 | 2017-10-26 |
| 1679083596 | Family Preservation Services, Inc | Community/Behavioral Health | 311 S Bridge St, Bedford, VA 24523-2705 | 2017-10-05 |
| 1881104701 | Family Preservation Services, Inc | Community/Behavioral Health | 63 State Route 9030, Stuarts Draft, VA 24477 | 2017-10-05 |
| 1427568344 | Family Preservation Services, Inc | Community/Behavioral Health | 184 Fort Defiance Rd, Fort Defiance, VA 24437-2001 | 2017-10-05 |
| 1154854248 | Family Preservation Services, Inc | Community/Behavioral Health | 5338 Esserville Road, Norton, VA 24273 | 2017-04-06 |
| 1386185361 | Family Preservation Services, Inc | Community/Behavioral Health | 122 Municipal Ave, Gate City, VA 24251-2738 | 2017-03-10 |
| 1255870093 | Family Preservation Services, Inc | Community/Behavioral Health | 12400 E Lynchburg Salem Turnpike, Forest, VA 24551 | 2017-02-13 |
| 1326598293 | Family Preservation Services, Inc | Community/Behavioral Health | 432 Church St, Millboro, VA 24460-2132 | 2016-10-04 |
| 1659828820 | Family Preservation Services, Inc | Community/Behavioral Health | 1 High School Circle, South Boston, VA 24592 | 2016-09-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Family Preservation Services, Inc. | P O Box 12925 , Tucson, AZ 85732 |
| Virginia Business Entity | Family Preservation Services, Inc. | 10304 SPOTSYLVANIA AVENUE SUITE 300, FREDERICKSBURG, VA 22408 |
| Street Address |
12718 MONETA RD |
| City | BEDFORD |
| State | VA |
| Zip Code | 24121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396081105 | Diane Rose Hancock | Physical Therapy Assistant | 302 Cove Point Trail, Moneta, VA 24121 | 2012-12-26 |
| 1497058986 | Charles Francis Shrock | Pharmacist | 80 Westlake, Hardy, VA 24121 | 2010-12-06 |
| 1831411701 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 14807 Moneta Road, Moneta, VA 24121 | 2010-02-19 |
| 1730311523 | Carolyn Renne Tolliver | Physical Therapy Assistant | 285 Mallard Cove Road, Moneta, VA 24121 | 2009-08-13 |
| 1497900047 | Centra Health Professional Services, LLC | Urology | 1039 Mayberry Crossing Drive, Moneta, VA 24121 | 2008-11-24 |
| 1053372011 | Patricia Z Lloyd | Family Medicine | 4830 Rucker Road, Village Family Physicians, Moneta, VA 24121 | 2006-03-30 |
| 1588662613 | Virginia L. Blanks | Family Medicine | 4830 Rucker Rd, Attn: Village Family Physicians, Moneta, VA 24121 | 2005-07-12 |
| 1750801080 | Jeffery Alan Chodrow | Pharmacist | 1282 Twelve Acre Rd, Moneta, VA 24121-1779 | 2017-06-27 |
| 1811395205 | W. Robert Lange | Internal Medicine | 835 Gangplank Rd Unit 110, Moneta, VA 24121-2499 | 2014-12-17 |
| 1750348744 | Doris Guerrant | Counselor | 1525 Bremble Dr, Moneta, VA 24121-2530 | 2006-04-26 |
| Find all providers in zip 24121 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831759117 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 3639 Business 220, Bedford, PA 15522-1122 | 2019-06-18 |
| 1740847441 | Donald Lee Lykes | Community/Behavioral Health | 314 Union St, Bedford, OH 44146-4569 | 2019-05-29 |
| 1679083596 | Family Preservation Services, Inc | Community/Behavioral Health | 311 S Bridge St, Bedford, VA 24523-2705 | 2017-10-05 |
| 1255710547 | Family Preservation Services, Inc | Community/Behavioral Health | 1059 Turning Point Road, Bedford, VA 24523 | 2015-05-20 |
| 1003210162 | Janebogurskypllc | Community/Behavioral Health | 128 S River Rd, Bedford, NH 03110-6720 | 2014-10-18 |
| 1194147397 | Family Preservation Services, Inc | Community/Behavioral Health | 403 Otey St, Bedford, VA 24523-2800 | 2014-01-08 |
| 1427355304 | Jl Support Services, LLC | Community/Behavioral Health | 1907 Lazenbury Rd, Bedford, VA 24523-6224 | 2011-02-11 |
| 1659543668 | Alternative Community Resource Program Inc | Community/Behavioral Health | 3759 Business Route 220, Bedford, PA 15522 | 2008-03-31 |
| 1538370614 | Nulton Diagnostic and Treatment Center | Community/Behavioral Health | 608 East Pitt Street, Bedford, PA 15522 | 2007-05-24 |
| 1922136944 | Family Preservation Services, Inc | Community/Behavioral Health | 807 College St, Bedford, VA 24523-1933 | 2007-03-01 |
| Find all providers in BEDFORD | ||||
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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.