Provider Demographics
NPI:1659398733
Name:PRESBYTERIAN HOMES & FAMILY SERVICES, INC
Entity Type:Organization
Organization Name:PRESBYTERIAN HOMES & FAMILY SERVICES, INC
Other - Org Name:HUMANKIND
Other - Org Type:Other Name
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEADOWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-384-3131
Mailing Address - Street 1:150 LINDEN AVE
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24503-2010
Mailing Address - Country:US
Mailing Address - Phone:434-384-3131
Mailing Address - Fax:434-455-3624
Practice Address - Street 1:150 LINDEN AVE
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24503-2010
Practice Address - Country:US
Practice Address - Phone:434-384-3131
Practice Address - Fax:434-455-3624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA367-01-001320900000X
VA367-01-011320900000X
VA367-08-011320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004946383Medicaid
VA004945816Medicaid
VA004947045Medicaid
VA004946375Medicaid
VA004946391Medicaid