CAFORRAL AGENCY, LLC – NPI #1083389472
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

CAFORRAL AGENCY, LLC is a community based residential treatment facility located in DANVILLE, VA. NPPES has assigned the NPI number 1083389472 to CAFORRAL AGENCY, LLC on August 09, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was last updated on Oct 24, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAFORRAL AGENCY, LLC below.

NPI Profile for
CAFORRAL AGENCY, LLC

NPI Number
1083389472
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CAFORRAL AGENCY, LLC
Primary location
113 DAVIS DR
DANVILLE, VA 24540-1437
Phone: (434) 341-3863 Fax: (434) 228-4935
Mailing address
PO BOX 10669
DANVILLE, VA 24543-5012
Phone: (434) 341-3863 Fax: (434) 228-4935
Organization Subpart
No
Authorized Official
LONNIE FITZGERALD
OWNER
Phone: (434) 341-3863
Updated
Certification Date
Oct 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.