Provident Arc Llc

LBN: Provident Arc Llc
Provident Arc Llc is an health care organization with primary practice located at 17300 River Ridge Blvd Suite 301, Woodbridge VA 22191-5167. 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. Provident Arc Llc can be contacted via phone (703) 861-4409, or through Roundtree, Reynaldo via phone (703) 861-4409.

Contact Information

Primary practice address
17300 River Ridge Blvd Suite 301 Woodbridge VA 22191-5167
Phone: (703) 861-4409
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roundtree, Reynaldo
Phone: (703) 861-4409

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 954 Virginia

Profile Details

NPI number 1285957761
LBN Legal business name Provident Arc Llc
DBA Doing business as
Authorized official Roundtree, Reynaldo
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2010
Last updated Mar 11th, 2010 - about 14 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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