DANVILLE-PITTSYLVANIA COMMUNITY SERVICES NPI 1831425602

NPI Information

NPI: 1831425602
Provider Name: DANVILLE-PITTSYLVANIA COMMUNITY SERVICES
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

CLIA Number: 49D2201666

Address:
504 MIDDLE STREET
DANVILLE, VA
ZIP 24540
Phone: (434) 792-2789
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DANVILLE-PITTSYLVANIA COMMUNITY SERVICES is an intermediate care facility mentally retarded in Danville, VA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. DANVILLE-PITTSYLVANIA COMMUNITY SERVICES NPI is 1831425602. The provider is registered as an organization entity type.

The provider's business location address is:

504 MIDDLE STREET
DANVILLE, VA
ZIP 24540-614
Phone: (434) 792-2789
Fax: (434) 793-4201

The provider's authorized official is James F. Bebeau .
The authorized official title is Executive Director and has the following contact phone number (434) 799-0456.

The CLIA number assigned to this NPI record is 49D2201666 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/28/2009 and was last updated on 9/10/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		270-01-001	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C03176	MEDICARE UPIN	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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