Frederick House

LBN: Intercept Youth Services, Inc.
Frederick House is an health care organization with primary practice located at 5511 Staples Mill Rd Ste 102 , Richmond VA 23228-5445. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Intercept Youth Services, Inc. can be contacted via phone (804) 864-1320, or through Kamencik, Don via phone (804) 864-1320.

Contact Information

Primary practice address
5511 Staples Mill Rd Ste 102 Richmond VA 23228-5445
Phone: (804) 864-1320
Fax: (804) 864-1323
Website:
Map and Directions
Authorized official contact:
Name: Kamencik, Don
Phone: (804) 864-1320

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1619078052
LBN Legal business name Intercept Youth Services, Inc.
DBA Doing business as Frederick House
Authorized official Kamencik, Don
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619078052 NPPES
Virginia MEDICAID 010220262

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