PROVIDENT ARC LLC
NPI 1285957761
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Woodbridge, VA

Q: What is Provident Arc LLC's NPI number?

The NPI number for Provident Arc LLC is 1285957761. It was assigned to this organization in the NPPES registry on March 11, 2010.

Q: What is Provident Arc LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Q: When was this NPI record last updated?

The NPPES record for Provident Arc LLC was last updated on March 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since March 11, 2010

17300 RIVER RIDGE BLVD, SUITE 301, WOODBRIDGE, VA 22191(703) 861-4409 Get Directions Write a Review

NPPES record last updated: March 11, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Provident Arc Llc NPPES

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

PROVIDENT ARC LLC (NPI 1285957761) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Woodbridge, Virginia and active in the NPI registry since March 2010. The organization lists Reynaldo Roundtree, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1285957761

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NamePROVIDENT ARC LLC

Location Address17300 RIVER RIDGE BLVD, SUITE 301Woodbridge, VA 22191-5167

Mailing Address17300 River Ridge Blvd, Suite 301Woodbridge, VA 22191-5167 · (703) 861-4409

Phone(703) 861-4409

Organization SubpartNo

Authorized OfficialReynaldo RoundtreeCo-owner · (703) 861-4409

Enumeration DateMarch 11, 2010

✔ NPI 1285957761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

License✔ Licensed in VA · 954

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

17300 RIVER RIDGE BLVD, Woodbridge, VA 22191

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROCKAGE HEALTHCARE SOLUTIONS, INC

Home Health

17300 RIVER RIDGE BLVD, SUITE 202-5
WOODBRIDGE, VA 22191

Prince William County (571) 931-6590

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 Provident Arc LLC's NPI number?

The NPI number for Provident Arc LLC is 1285957761. It was assigned to this organization in the NPPES registry on March 11, 2010.

Where is Provident Arc LLC located?

Provident Arc LLC is located at 17300 River Ridge Blvd Suite 301, Woodbridge, VA 22191. The listed phone number is (703) 861-4409.

What is Provident Arc LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Provident Arc LLC was last updated on March 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.