Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHEPHERD RESIDENCE OF VIRGINIA LLC
NPI 1093649519
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Round Hill, VA

Q: What is Shepherd Residence Of Virginia LLC's NPI number?

The NPI number for Shepherd Residence Of Virginia LLC is 1093649519. It was assigned to this organization in the NPPES registry on June 10, 2026.

Q: What is Shepherd Residence Of Virginia 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 June 10, 2026

17365 AVION SQ, ROUND HILL, VA 20141(703) 926-4710 Get Directions Write a Review

NPPES record added: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shepherd Residence Of Virginia Llc NPPES

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

SHEPHERD RESIDENCE OF VIRGINIA LLC (NPI 1093649519) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Round Hill, Virginia and active in the NPI registry since June 2026. The organization lists George Caulker, Program Director, as its authorized official.

NPPES Registry Identity

NPI1093649519

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameSHEPHERD RESIDENCE OF VIRGINIA LLC

Location Address17365 AVION SQRound Hill, VA 20141-2492

Mailing Address17365 Avion SqRound Hill, VA 20141-2492 · (703) 926-4710

Phone(703) 926-4710

Organization SubpartNo

Authorized OfficialGeorge CaulkerProgram Director · (703) 926-4710

Enumeration DateJune 10, 2026

Last NPPES UpdateJune 11, 2026

NPPES CertifiedJune 11, 2026

✔ NPI 1093649519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code320900000X

Definition

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

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X

17365 AVION SQ, Round Hill, VA 20141

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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 Shepherd Residence Of Virginia LLC's NPI number?

The NPI number for Shepherd Residence Of Virginia LLC is 1093649519. It was assigned to this organization in the NPPES registry on June 10, 2026.

Where is Shepherd Residence Of Virginia LLC located?

Shepherd Residence Of Virginia LLC is located at 17365 Avion Sq, Round Hill, VA 20141. The listed phone number is (703) 926-4710.

What is Shepherd Residence Of Virginia 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 Shepherd Residence Of Virginia LLC was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.