BLESSED SUPPORT PROFESSIONALS, INC (NPI# 1831755958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831755958 |
| Entity Type | Organization |
| Organization Name | BLESSED SUPPORT PROFESSIONALS, INC |
| Practice Address |
14511 Jefferson Davis Hwy # A Woodbridge VA 22191-2807 |
| Practice Telephone | 7034946014 |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-14 |
| Authorized Official Name | EBENEZER BANAHENE (PRESIDENT) |
| Authorized Official Telephone | 7039269739 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
14511 JEFFERSON DAVIS HWY # A |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-2807 |
| 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 | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891327417 | Perfect Home Support, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13662 Office Pl Ste 104, Woodbridge, VA 22192-4217 | 2020-02-11 |
| 1164076790 | Home Away Residential Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4304 Eldorado Dr, Woodbridge, VA 22193-2716 | 2019-07-31 |
| 1588229306 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1482 Rahway Ave, Apt 103, Woodbridge, NJ 07001 | 2019-05-07 |
| 1942800594 | E & E Residential Support Professionals LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15337 Barnabas Trl, Woodbridge, VA 22193-5566 | 2020-10-30 |
| 1871113936 | Applied Group Home Solutions LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1986 Opitz Blvd, Woodbridge, VA 22191-3304 | 2020-04-19 |
| 1740834068 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1482 Rahway Avenue, Apt 227, Woodbridge, NJ 17001-0850 | 2019-07-25 |
| 1285288688 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1482 Rahway Avenue, Apt. 106, Woodbridge, NJ 17001 | 2019-07-25 |
| 1689227019 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1482 Rahway Avenue, Apt 117, Woodbridge, NJ 17001-0850 | 2019-07-24 |
| 1497308829 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1482 Rahway Avenue, Apt 113, Woodbridge, NJ 08501-0850 | 2019-07-24 |
| 1790338119 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1482 Rahway Avenue, 104, Woodbridge, NJ 17001-0850 | 2019-07-24 |
| 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.