COMPASSIONATE CARE GROUP HOMES, LLC


Address: 4413 San Carlos Dr, Fairfax, VA 22030-5372
Phone: 2406044921

COMPASSIONATE CARE GROUP HOMES, LLC (NPI# 1427400050) 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) 1427400050
Entity Type Organization
Organization Name COMPASSIONATE CARE GROUP HOMES, LLC
Practice Address 4413 San Carlos Dr
Fairfax
VA 22030-5372
Practice Telephone 2406044921
Enumeration Date 2016-07-07
Last Update Date 2016-07-07
Authorized Official Name GEORGETTE DEYONOU (PROGRAM DIRECTOR)
Authorized Official Telephone 2406044921
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2539-01-001 VA Residential Treatment Facilities

Office Location

Street Address 4413 SAN CARLOS DR
City FAIRFAX
State VA
Zip Code 22030-5372

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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1790321800 Community Comfort Care LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3736 Richard Ave, Fairfax, VA 22031-3535 2019-11-24
1609410273 Hands of Mercy Group Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 12783 Cruz Ct, Fairfax, VA 22030-7283 2019-11-06
1114400157 Divine Supports & Homes Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 13005 Maepine Ct, Fairfax, VA 22033-3130 2018-09-14
1568965333 William Henry Barnes Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3112 Plantation Pkwy, Fairfax, VA 22030-2118 2018-03-17
1922191121 Community Living Alternatives, Corp. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9401 Lee Hwy, Suite 406, Fairfax, VA 22031-1849 2006-10-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1306451448 Nikita S Banks Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 505 Cumberland Street Ave, Ste 2, Portsmouth, VA 23704-2370 2020-09-15
1396359576 Best Hope Community Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9662 Hawkshead Dr, Lorton, VA 22079-2786 2020-09-03
1609489038 Viana Healthcare Services Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8205 Mockingbird Dr, Annandale, VA 22003-3713 2020-08-25
1225640279 Guardian Angels Homecare, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1116 Pin Oak Drive, Suffolk, VA 23434-2343 2020-08-20
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1356962252 Intellectual Services Group, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4813 Integrity Ct, Fredericksburg, VA 22408-1891 2020-05-01
1699394346 Peace of Mind Residential Care Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 17 Pinehurst Ln, Stafford, VA 22554-7288 2020-04-13
1487282729 Eye Care LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 721 Cabin Creek Dr, Hopewell, VA 23860-5350 2020-03-31
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Competitor

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City FAIRFAX
Zip Code 22030

Improve Information

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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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