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WOODSIDE HEALTHCARE
NPI 1356796668
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Woodbridge, VA

Active since April 25, 2016
4309 KENWOOD DR, WOODBRIDGE, VA 22193(240) 750-0045 Get Directions Write a Review

NPPES record last updated: April 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Woodside Healthcare NPPES

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

WOODSIDE HEALTHCARE (NPI 1356796668) 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 April 2016. The organization lists Isaiah A Teasley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356796668
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameWOODSIDE HEALTHCARE
Location Address4309 KENWOOD DRWoodbridge, VA 22193-5282
Mailing Address1010 Southern Night LnGaithersburg, MD 20879-3268 · (240) 750-0045
Phone(240) 750-0045
Organization SubpartNo
Authorized OfficialIsaiah A TeasleyCeo · (240) 750-0045
Enumeration DateApril 25, 2016
✔ NPI 1356796668 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 · 08041139
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.
4309 KENWOOD DR, Woodbridge, VA 22193
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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.

LIFELINE HOME HEALTH INC
Community/Behavioral Health
4309 KENWOOD DR
WOODBRIDGE, VA 22193
Prince William County (301) 442-5796

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 Woodside Healthcare's NPI number?

The NPI number for Woodside Healthcare is 1356796668. It was assigned to this organization in the NPPES registry on April 25, 2016.

Where is Woodside Healthcare located?

Woodside Healthcare is located at 4309 Kenwood Dr, Woodbridge, VA 22193. The listed phone number is (240) 750-0045.

What is Woodside Healthcare'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 Woodside Healthcare was last updated on April 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.