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1ST PROMISE RESIDENTIAL SERVICES, LLC
NPI 1376202051
Day Training, Developmentally Disabled Services in Manassas, VA

Active since December 10, 2021
10127 WOODBURY DR APT 512, MANASSAS, VA 20109(571) 278-1273 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 1st Promise Residential Services, Llc NPPES

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

1ST PROMISE RESIDENTIAL SERVICES, LLC (NPI 1376202051) is a healthcare organization registered as a day training, developmentally disabled services in Manassas, Virginia and active in the NPI registry since December 2021. The organization lists Ferdinand Atabongawung, Owner, as its authorized official.

NPPES Registry Identity

NPI1376202051
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business Name1ST PROMISE RESIDENTIAL SERVICES, LLC
Location Address10127 WOODBURY DR APT 512Manassas, VA 20109-3781
Mailing Address10127 Woodbury Dr Apt 512Manassas, VA 20109-3781 · (571) 278-1273
Phone(571) 278-1273
Organization SubpartNo
Authorized OfficialFerdinand AtabongawungOwner · (571) 278-1273
Enumeration DateDecember 10, 2021
NPPES CertifiedDecember 10, 2021
✔ NPI 1376202051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
10127 WOODBURY DR APT 512, Manassas, VA 20109
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Other Identifiers 1

Medicaid3979VA

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 1st Promise Residential Services, LLC's NPI number?

The NPI number for 1st Promise Residential Services, LLC is 1376202051. It was assigned to this organization in the NPPES registry on December 10, 2021.

Where is 1st Promise Residential Services, LLC located?

1st Promise Residential Services, LLC is located at 10127 Woodbury Dr Apt 512, Manassas, VA 20109. The listed phone number is (571) 278-1273.

What is 1st Promise Residential Services, LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for 1st Promise Residential Services, LLC was last updated on December 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.