BETHEL RESIDENTIAL SERVICES LLC (NPI# 1144875337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144875337 |
| Entity Type | Organization |
| Organization Name | BETHEL RESIDENTIAL SERVICES LLC |
| Practice Address |
1966 Powells Landing Cir Woodbridge VA 22191-4440 |
| Practice Telephone | 7033719909 |
| Mailing Telephone | 7033719909 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |
| Authorized Official Name | KENNETH ACHEAMPONG (DIRECTOR) |
| Authorized Official Telephone | 7033719909 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
1966 POWELLS LANDING CIR |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-4440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689223224 | Eveready Residential Support Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 14240 Spriggs Rd, Woodbridge, VA 22193-3610 | 2019-09-06 |
| 1922657618 | Comfort Group Home, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13397 Nationville Ln, Woodbridge, VA 22193-4152 | 2019-09-05 |
| 1982263968 | All In All Residential Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4707 Lehigh Ct, Woodbridge, VA 22193-4635 | 2019-06-12 |
| 1891257416 | Avid Care Services, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15110 Kentshire Dr, Woodbridge, VA 22191-4053 | 2019-04-02 |
| 1871058404 | Peaceful Living Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6221 Oscar Ct, Woodbridge, VA 22193-7024 | 2019-02-07 |
| 1285957761 | Provident Arc LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 17300 River Ridge Blvd, Suite 301, Woodbridge, VA 22191-5167 | 2010-03-11 |
| 1588754519 | Insight, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13505 Hillendale Dr, Woodbridge, VA 22193-4716 | 2006-10-13 |
| 1316569338 | Angels Residential Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12770 Ripple Creek Ct Apt 2314, Woodbridge, VA 22192-6562 | 2020-05-13 |
| 1063066470 | Pennreach | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1482 Rahway Avenue, Apt 114, Woodbridge, NJ 17001-0850 | 2019-07-25 |
| 1356796668 | Woodside Healthcare | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4309 Kenwood Dr, Woodbridge, VA 22193-5282 | 2016-04-25 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.