PROVIDENCE HEALTHCARE SERVICES, LLC
NPI 1427618255
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Springfield, VA

Active since June 14, 2019
8009 GOSPORT LN, SPRINGFIELD, VA 22151(202) 506-0695 Get Directions Write a Review

NPPES record last updated: June 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Healthcare Services, Llc NPPES

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

PROVIDENCE HEALTHCARE SERVICES, LLC (NPI 1427618255) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Springfield, Virginia and active in the NPI registry since June 2019. The organization lists Constance Eni Chick Foh, Director, as its authorized official.

NPPES Registry Identity

NPI1427618255
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NamePROVIDENCE HEALTHCARE SERVICES, LLC
Location Address8009 GOSPORT LNSpringfield, VA 22151-2008
Mailing Address8009 Gosport LnSpringfield, VA 22151-2008 · (202) 506-0695
Organization SubpartNo
Authorized OfficialConstance Eni Chick FohDirector · (202) 506-0695
Enumeration DateJune 14, 2019
NPI 1427618255 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
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.
8009 GOSPORT LN, Springfield, VA 22151

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 Providence Healthcare Services, LLC's NPI number?

The NPI number for Providence Healthcare Services, LLC is 1427618255. It was assigned to this organization in the NPPES registry on June 14, 2019.

Where is Providence Healthcare Services, LLC located?

Providence Healthcare Services, LLC is located at 8009 Gosport Ln, Springfield, VA 22151. The listed phone number is (202) 506-0695.

What is Providence Healthcare Services, 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 Providence Healthcare Services, LLC was last updated on June 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.