Provider Demographics
NPI:1346742830
Name:F.C. OF VIRGINIA, INC.
Entity Type:Organization
Organization Name:F.C. OF VIRGINIA, INC.
Other - Org Name:INTREPID USA HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:NIX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-445-3750
Mailing Address - Street 1:4055 VALLEY VIEW LANE SUITE 750
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-5074
Mailing Address - Country:US
Mailing Address - Phone:214-445-3750
Mailing Address - Fax:
Practice Address - Street 1:8401 MAYLAND DRIVE SUITE L
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294
Practice Address - Country:US
Practice Address - Phone:804-295-0106
Practice Address - Fax:804-823-3227
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:F.C. OF VIRGINIA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-01
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based