BELLWETHER BEHAVIORAL OF VIRGINIA, LLC
NPI 1366810392
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fairfax, VA

Active since September 08, 2015
9932 MAIN ST, FAIRFAX, VA 22031(302) 365-8050 Get Directions Write a Review

NPPES record last updated: August 18, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 18, 2017, Nov 20, 2015 (2 updates tracked since 2015).

About Bellwether Behavioral Of Virginia, Llc NPPES

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

BELLWETHER BEHAVIORAL OF VIRGINIA, LLC (NPI 1366810392) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Fairfax, Virginia and active in the NPI registry since September 2015. The organization lists Kathleen Shea, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1366810392
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBELLWETHER BEHAVIORAL OF VIRGINIA, LLC
Location Address9932 MAIN STFairfax, VA 22031-3901
Mailing Address2520 Wrangle Hill Rd, Suite 200Bear, DE 19701-3849 · (302) 365-8050
Organization SubpartYesParent: Gi Advo Opco, Llc
Authorized OfficialKathleen SheaChief Financial Officer · (302) 365-8050
Enumeration DateSeptember 8, 2015
Last NPPES UpdateAugust 18, 20172 updates tracked since enumeration
NPI 1366810392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code320900000X
License Licensed in VA · 2666
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 0701006290 (VA)
9932 MAIN ST, Fairfax, VA 22031

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Adult Day Care)
9932 MAIN ST
FAIRFAX, VA 22031
Behavior Technician
9932 MAIN ST
FAIRFAX, VA 22031

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 Bellwether Behavioral Of Virginia, LLC's NPI number?

The NPI number for Bellwether Behavioral Of Virginia, LLC is 1366810392. It was assigned to this organization in the NPPES registry on September 8, 2015.

Where is Bellwether Behavioral Of Virginia, LLC located?

Bellwether Behavioral Of Virginia, LLC is located at 9932 Main St, Fairfax, VA 22031. The listed phone number is (302) 365-8050.

What is Bellwether Behavioral 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 Bellwether Behavioral Of Virginia, LLC was last updated on August 18, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.