Providence Healthcare Services, Llc

LBN: Providence Healthcare Services, Llc
Providence Healthcare Services, Llc is an health care organization with primary practice located at 8009 Gosport Ln , Springfield VA 22151-2008. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Providence Healthcare Services, Llc can be contacted via phone (202) 506-0695, or through Chick Foh, Constance Eni via phone (202) 506-0695.

Contact Information

Primary practice address
8009 Gosport Ln Springfield VA 22151-2008
Phone: (202) 506-0695
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chick Foh, Constance Eni
Phone: (202) 506-0695

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1427618255
LBN Legal business name Providence Healthcare Services, Llc
DBA Doing business as
Authorized official Chick Foh, Constance Eni
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2019
Last updated Jun 14th, 2019 - about 5 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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