Provider Type Icon

EXCELLENT CARE RESIDENTIAL SERVICES LLC NPI 1730703521


NPI Information

NPI: 1730703521
Provider Name: EXCELLENT CARE RESIDENTIAL SERVICES LLC

Former Legal Business Name: EXCELLENT CARE RESIDENTIAL SERVICES LLC

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
6400 RIVINGTON RD
SPRINGFIELD, VA
ZIP 22152
Phone: (571) 201-5841
Get Directions

EXCELLENT CARE RESIDENTIAL SERVICES LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Springfield, VA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. EXCELLENT CARE RESIDENTIAL SERVICES LLC NPI is 1730703521. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Excellent Care Residential Services Llc.

The provider's business location address is:

6400 RIVINGTON RD
SPRINGFIELD, VA
ZIP 22152-912
Phone: (571) 201-5841

The provider's authorized official is Pamela Nkuroko Ambe .
The authorized official title is Director and has the following contact phone number (571) 201-5841.

The enumeration date for this NPI number is 6/8/2020 and was last updated on 11/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251B00000XCase ManagementNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.