GREATER WILLIAMSBURG RESIDENTIAL FACILITY
NPI 1568793669
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Williamsburg, VA

Active since January 29, 2010
602 TAM O SHANTER BLVD, WILLIAMSBURG, VA 23185(757) 903-4236 Get Directions Write a Review

NPPES record last updated: January 29, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Greater Williamsburg Residential Facility NPPES

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

GREATER WILLIAMSBURG RESIDENTIAL FACILITY (NPI 1568793669) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Williamsburg, Virginia and active in the NPI registry since January 2010. The organization lists Patrice Muhammad, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1568793669
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameGREATER WILLIAMSBURG RESIDENTIAL FACILITY, LP.
Location Address602 TAM O SHANTER BLVDWilliamsburg, VA 23185-5922
Mailing Address602 Tam O Shanter BlvdWilliamsburg, VA 23185-5922 · (757) 903-4236
Organization SubpartYesParent: Destinys House Residential Services, Llc.
Authorized OfficialPatrice MuhammadExecutive Director · (757) 903-4236
Enumeration DateJanuary 29, 2010
✔ NPI 1568793669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License✔ Licensed in VA · 990
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
602 TAM O SHANTER BLVD, Williamsburg, VA 23185

Other Names 1

Doing Business AsGreater Williamsburg Residential Facility

Other Providers at the Same Location NPPES

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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
602 TAM O SHANTER BLVD
WILLIAMSBURG, VA 23185

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 Greater Williamsburg Residential Facility, LP.'s NPI number?

The NPI number for Greater Williamsburg Residential Facility, LP. is 1568793669. It was assigned to this organization in the NPPES registry on January 29, 2010. The provider is doing business as Greater Williamsburg Residential Facility.

Where is Greater Williamsburg Residential Facility, LP. located?

Greater Williamsburg Residential Facility, LP. is located at 602 Tam O Shanter Blvd, Williamsburg, VA 23185. The listed phone number is (757) 903-4236.

What is Greater Williamsburg Residential Facility, LP.'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 Greater Williamsburg Residential Facility, LP. was last updated on January 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.