PEACEFUL LIVING HOME (NPI# 1871058404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871058404 |
| Entity Type | Organization |
| Organization Name | PEACEFUL LIVING HOME |
| Practice Address |
6221 Oscar Ct Woodbridge VA 22193-7024 |
| Practice Telephone | 7032233911 |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |
| Authorized Official Name | MABINTI KAMARA (DIRECTOR) |
| Authorized Official Telephone | 7032233911 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PEACEFUL LIVING HOMES, LLC | 3983 State Highway 30, Amsterdam, New York 12010 |
| Street Address |
6221 OSCAR CT |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22193-7024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083111702 | Bethiana Magallanes White | Speech-Language Pathologist | 14450 Brook Dr, Woodbridge, VA 22193 | 2018-04-09 |
| 1982111449 | Frances Davis | Social Worker | 4196 Merchant Plaza Apt 632, Woodbridge, VA 22193 | 2018-01-05 |
| 1427421627 | Woodbridge Therapy Group LLC | Counselor | 12721 Darby Brooke Ct., Suite 102, Woodbridge, VA 22193 | 2015-11-10 |
| 1972981090 | Lifeline Home Health Inc | Community/Behavioral Health | 4309 Kenwood Dr, Woodbridge, VA 22193 | 2015-05-08 |
| 1588056139 | Lifelong Good Health LLC | Clinic/Center | 5721 Rhode Isalnd Drive, Woodbridge, VA 22193 | 2015-02-19 |
| 1639560378 | Tara Devi Smith | Psychologist | 13855 Hedgewood Drive, #245, Woodbridge, VA 22193 | 2015-02-17 |
| 1710396114 | Allanna Harrison | Speech-Language Pathologist | 15792 Beau Ridge Dr., Woodbridge, VA 22193 | 2014-08-11 |
| 1659788909 | Lifelong Good Health | Clinic/Center | 5721 Rhode Island Dr, Woodbridge, VA 22193 | 2014-07-18 |
| 1952731960 | Corrieann Marie Avila | Social Worker | 12721 Darby Brooke Court, Suite 102, Woodbridge, VA 22193 | 2013-11-13 |
| 1972881019 | Ockhee Jung | Acupuncturist | 14174 Rizdon Ct, Woodbridge, VA 22193 | 2011-07-22 |
| Find all providers in zip 22193 | ||||
| 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 |
| 1144875337 | Bethel Residential Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1966 Powells Landing Cir, Woodbridge, VA 22191-4440 | 2019-08-05 |
| 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 |
| 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 | 22193 |
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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.