VIDAL CARE RESIDENCY LLC
NPI 1447041504
Assisted Living Facility - Assisted Living, Mental Illness in Suffolk, VA

Q: What is Vidal Care Residency LLC's NPI number?

The NPI number for Vidal Care Residency LLC is 1447041504. It was assigned to this organization in the NPPES registry on May 16, 2025.

Q: What is Vidal Care Residency LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since May 16, 2025

109 CROCKER ST, SUFFOLK, VA 23434(757) 809-0301 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Vidal Care Residency Llc NPPES

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

VIDAL CARE RESIDENCY LLC (NPI 1447041504) is a healthcare organization registered as an assisted living, mental illness in Suffolk, Virginia and active in the NPI registry since May 2025. The organization lists Leary Williams, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1447041504

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameVIDAL CARE RESIDENCY LLC

Location Address109 CROCKER STSuffolk, VA 23434-2605

Mailing Address126 Bowrider DrSuffolk, VA 23435-4117 · (757) 609-1534

Phone(757) 809-0301

Organization SubpartNo

Authorized OfficialLeary WilliamsCo-owner · (757) 609-1534

Enumeration DateMay 16, 2025

NPPES CertifiedMay 16, 2025

✔ NPI 1447041504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

109 CROCKER ST, Suffolk, VA 23434

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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 Vidal Care Residency LLC's NPI number?

The NPI number for Vidal Care Residency LLC is 1447041504. It was assigned to this organization in the NPPES registry on May 16, 2025.

Where is Vidal Care Residency LLC located?

Vidal Care Residency LLC is located at 109 Crocker St, Suffolk, VA 23434. The listed phone number is (757) 809-0301.

What is Vidal Care Residency LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Vidal Care Residency LLC was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.