Provider Demographics
NPI:1881266393
Name:EXTRA SPECIAL PARENTS, INC.
Entity type:Organization
Organization Name:EXTRA SPECIAL PARENTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HR AND CONTRACTS
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:H
Authorized Official - Last Name:LUCY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-538-0239
Mailing Address - Street 1:711 N COURTHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-4045
Mailing Address - Country:US
Mailing Address - Phone:804-538-0239
Mailing Address - Fax:804-714-1769
Practice Address - Street 1:711 N COURTHOUSE RD
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-4045
Practice Address - Country:US
Practice Address - Phone:804-538-0239
Practice Address - Fax:804-714-1769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-14
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0103416472OtherAPI NUMBER