PROVIDENCE COMMUNITY SERVICE LLC
NPI 1053706812
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Chesterfield, VA

Q: What is Providence Community Service LLC's NPI number?

The NPI number for Providence Community Service LLC is 1053706812. It was assigned to this organization in the NPPES registry on March 30, 2015.

Q: What is Providence Community Service LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since March 30, 2015

7011 EGAN PL, CHESTERFIELD, VA 23832(804) 674-1044(804) 674-1110 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Providence Community Service Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE COMMUNITY SERVICE LLC (NPI 1053706812) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Chesterfield, Virginia and active in the NPI registry since March 2015. The organization lists John Thomas Edwards, C.e.o, as its authorized official.

NPPES Registry Identity

NPI1053706812

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NamePROVIDENCE COMMUNITY SERVICE LLC

Location Address7011 EGAN PLChesterfield, VA 23832-8310

Mailing Address7011 Egan PlChesterfield, VA 23832-8310 · (804) 674-1044 · Fax (804) 674-1110

Phone(804) 674-1044

Fax(804) 674-1110

Organization SubpartNo

Authorized OfficialJohn Thomas EdwardsC.e.o · (804) 674-1044

Enumeration DateMarch 30, 2015

✔ NPI 1053706812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

License✔ Licensed in VA · 225301001

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

7011 EGAN PL, Chesterfield, VA 23832

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Community Service LLC's NPI number?

The NPI number for Providence Community Service LLC is 1053706812. It was assigned to this organization in the NPPES registry on March 30, 2015.

Where is Providence Community Service LLC located?

Providence Community Service LLC is located at 7011 Egan Pl, Chesterfield, VA 23832. The listed phone number is (804) 674-1044.

What is Providence Community Service LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Providence Community Service LLC was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.