OrganizationActive
Chesterfield Community Services Board - Icf Pine Forest
NPI 1033397542 · Intellectual Disabilities Intermediate Care Facility · Chesterfield, VA
Provider details
- NPI number
- 1033397542
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Fried, Executive Director(804) 768-7227
- License
- 222-17-001 (VA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6801 Lucy Corr Ct
Chesterfield, VA 23832-6657
Phone: (804) 748-1227
Fax: (804) 717-6659
Street-level locationGet directions
Mailing address
6801 Lucy Corr Ct
Chesterfield, VA 23832-6657
Registry dates
- Enumerated
- 2008-02-06
- Last updated
- 2020-09-15
- Certified
- 2020-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.