G&G RESPITE SERVICES


Address: 2810 Burrough Hill Ln, Woodbridge, VA 22191-5155
Phone: 7039738821

G&G RESPITE SERVICES (NPI# 1215260492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215260492
Entity Type Organization
Organization Name G&G RESPITE SERVICES
Other Organization Name G&G RESPITE SERVICES
Practice Address 2810 Burrough Hill Ln
Woodbridge
VA 22191-5155
Practice Telephone 7039738821
Practice Fax Number 7037969615
Mailing Telephone 7039738821
Mailing Fax Number 7037969615
Enumeration Date 2009-09-06
Last Update Date 2009-09-06
Authorized Official Name MS. GRACE VUMAH MBENGABONG (REHAB.SPECIALIST)
Authorized Official Telephone 7039738821
Is Organization Subpart Y
Parent Organization Name G&G RESPITE SERVICES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
DC Ambulatory Health Care Facilities
N 385HR2060X Respite Care
Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child
Respite Care Facility
Y 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
G&G Respite services Other Name - Individual/Organization

Office Location

Street Address 2810 BURROUGH HILL LN
City WOODBRIDGE
State VA
Zip Code 22191-5155

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1821577263 Maame Gyasiwah Banahene Registered Nurse 1812 Featherstone Rd, Woodbridge, VA 22191 2018-08-07
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1619490661 Misti S Gray Nurse Practitioner 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 2017-07-21
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Taxonomy Information

Taxonomy Code 261QD1600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Developmental Disabilities

Taxonomy Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Notes: [7/1/2003: new]

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Competitor

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City WOODBRIDGE
Zip Code 22191

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Dataset Information

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.

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