1St Promise Residential Services, Llc

LBN: 1St Promise Residential Services, Llc
1St Promise Residential Services, Llc is an health care organization with primary practice located at 10127 Woodbury Dr Apt 512 , Manassas VA 20109-3781. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. 1St Promise Residential Services, Llc can be contacted via phone (571) 278-1273, or through Atabongawung, Ferdinand via phone (571) 278-1273.

Contact Information

Primary practice address
10127 Woodbury Dr Apt 512 Manassas VA 20109-3781
Phone: (571) 278-1273
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Atabongawung, Ferdinand
Phone: (571) 278-1273

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1376202051
LBN Legal business name 1St Promise Residential Services, Llc
DBA Doing business as
Authorized official Atabongawung, Ferdinand
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2021
Last updated Dec 10th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376202051 NPPES
Virginia MEDICAID 3979

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