# MADAM PATRICIA CHILDREN FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HANDS OF CARE ANGELS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992547277
- **Authorized official:** REV LEONARD CHUKWUJIOKE-MBIHA CCMA MHA (HEALTHCARE ADMINISTRATOR)
- **Authorized official phone:** (703) 814-6748

## Contact information

- **Practice address:** 734 W LOCUST ST, JOHNSON CITY, TN 37604-6504
- **Practice address phone:** (703) 814-6748
- **Practice address fax:** (571) 441-0861
- **Mailing address:** 303 BLUE RIDGE AVE, FRONT ROYAL, VA 22630-3005
- **Mailing address phone:** (703) 814-6748
- **Mailing address fax:** (571) 441-0861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | NULL | — |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | — |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | — | NULL | — |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 06/08/2024
- **Last updated:** 06/08/2024