THE CHANCELLOR GROUP HOME LLC
NPI 1972370237
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Sterling, VA

Active since December 07, 2023
23096 FONTWELL SQ, STERLING, VA 20166(202) 615-1189 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Residential Treatment Facility, Intellec...

About THE CHANCELLOR GROUP HOME LLC

This page provides the complete NPI Profile along with additional information for The Chancellor Group Home Llc, a provider established in Sterling, Virginia operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1972370237 assigned on December 2023. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Thomas Boakye (Program Director)

NPI
1972370237 Verify this NPI
Provider Name
THE CHANCELLOR GROUP HOME LLC
Entity Type
Organization
Location Address
23096 FONTWELL SQ STERLING, VA 20166
Location Phone
(202) 615-1189
Mailing Address
23096 FONTWELL SQ STERLING, VA 20166
Mailing Phone
(202) 615-1189
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-07-2023
Last Update Date
12-07-2023
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

THOMAS BOAKYE

Authorized Official Title
PROGRAM DIRECTOR
Authorized Official Phone
(202) 615-1189

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972370237, enumerated as an "organization" on December 07, 2023.

The provider is located at 23096 FONTWELL SQ STERLING, VA 20166 and the phone number is (202) 615-1189.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.