PEDEREC SUPPORTED LIVING LLC
NPI 1871463661
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Culpeper, VA
- Organization
- Residential Treatment Facility, Intellec...
About PEDEREC SUPPORTED LIVING LLC
This page provides the complete NPI Profile along with additional information for Pederec Supported Living Llc, a provider established in Culpeper, Virginia operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1871463661 assigned on November 2025. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Jeroline Fai Bsn (Clinical Manager)
- NPI
- 1871463661 Verify this NPI
- Provider Name
- PEDEREC SUPPORTED LIVING LLC
- Entity Type
- Organization
- Location Address
- 14115 LOVERS LN STE 120 CULPEPER, VA 22701
- Location Phone
- (571) 237-7725
- Location Fax
- (757) 935-0240
- Mailing Address
- 14115 LOVERS LN STE 120 CULPEPER, VA 22701
- Mailing Phone
- (571) 237-7725
- Mailing Fax
- (757) 935-0240
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-07-2025
- Last Update Date
- 11-07-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 253Z00000X | Agencies | In Home Supportive Care |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871463661, enumerated as an "organization" on November 07, 2025.
The provider is located at 14115 LOVERS LN STE 120 CULPEPER, VA 22701 and the phone number is (571) 237-7725.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
