Provider Demographics
NPI:1518606078
Name:DESERVED KINDNESS AGENCY
Entity Type:Organization
Organization Name:DESERVED KINDNESS AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:FALTZ
Authorized Official - Suffix:
Authorized Official - Credentials:SERVICE FACILITATOR
Authorized Official - Phone:888-554-8863
Mailing Address - Street 1:6802 PARAGON PL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-1644
Mailing Address - Country:US
Mailing Address - Phone:888-554-8863
Mailing Address - Fax:
Practice Address - Street 1:6802 PARAGON PL
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-1644
Practice Address - Country:US
Practice Address - Phone:888-554-8863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1073550498Medicaid