IMAGO DEI SUPPORT SERVICES. LLC
NPI 1700639770
Day Training, Developmentally Disabled Services in Woodbridge, VA

Active since April 09, 2024
12531 CLIPPER DR STE 101, WOODBRIDGE, VA 22192(571) 427-2710(804) 714-0023 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Imago Dei Support Services. Llc NPPES

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

IMAGO DEI SUPPORT SERVICES. LLC (NPI 1700639770) is a healthcare organization registered as a day training, developmentally disabled services in Woodbridge, Virginia and active in the NPI registry since April 2024. The organization lists Victoria A Gbadebo, Program Director, as its authorized official.

NPPES Registry Identity

NPI1700639770
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameIMAGO DEI SUPPORT SERVICES. LLC
Location Address12531 CLIPPER DR STE 101Woodbridge, VA 22192-2355
Mailing Address12531 Clipper Dr Ste 101Woodbridge, VA 22192-2355 · (804) 218-2595 · Fax (804) 714-0023
Fax(804) 714-0023
Organization SubpartNo
Authorized OfficialVictoria A GbadeboProgram Director · (804) 218-2595
Enumeration DateApril 9, 2024
NPPES CertifiedApril 9, 2024
NPI 1700639770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
12531 CLIPPER DR STE 101, Woodbridge, VA 22192

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 Imago Dei Support Services. LLC's NPI number?

The NPI number for Imago Dei Support Services. LLC is 1700639770. It was assigned to this organization in the NPPES registry on April 9, 2024.

Where is Imago Dei Support Services. LLC located?

Imago Dei Support Services. LLC is located at 12531 Clipper Dr Ste 101, Woodbridge, VA 22192. The listed phone number is (571) 427-2710.

What is Imago Dei Support 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 Imago Dei Support Services. LLC was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.