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LILY ROSE RESIDENTIAL SERVICES LLC
NPI 1992472120
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Woodbridge, VA

Active since August 25, 2021
3102 GOLANSKY BLVD STE 202, WOODBRIDGE, VA 22192(703) 401-4133 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lily Rose Residential Services Llc NPPES

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

LILY ROSE RESIDENTIAL SERVICES LLC (NPI 1992472120) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Woodbridge, Virginia and active in the NPI registry since August 2021. The organization lists Chikata Khyne-sam, Director, as its authorized official.

NPPES Registry Identity

NPI1992472120
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameLILY ROSE RESIDENTIAL SERVICES LLC
Location Address3102 GOLANSKY BLVD STE 202Woodbridge, VA 22192-4244
Mailing Address3102 Golansky Blvd Ste 202Woodbridge, VA 22192-4244 · (703) 401-4133
Phone(703) 401-4133
Organization SubpartNo
Authorized OfficialChikata Khyne-samDirector · (703) 401-4133
Enumeration DateAugust 25, 2021
NPPES CertifiedAugust 25, 2021
✔ NPI 1992472120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
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.
3102 GOLANSKY BLVD STE 202, Woodbridge, VA 22192
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Other Providers at the Same Location NPPES 3

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

LBX THERAPY CENTER LLC
Counselor (Professional)
3102 GOLANSKY BLVD STE 202
WOODBRIDGE, VA 22192
Prince William County (703) 596-3978
HOLISTIC COUNSELING INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3102 GOLANSKY BLVD STE 202
WOODBRIDGE, VA 22192
Prince William County (210) 577-0095
LISA XANTUS LPC
Counselor (Professional)
3102 GOLANSKY BLVD STE 202
WOODBRIDGE, VA 22192
Prince William County (703) 596-3978

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 Lily Rose Residential Services LLC's NPI number?

The NPI number for Lily Rose Residential Services LLC is 1992472120. It was assigned to this organization in the NPPES registry on August 25, 2021.

Where is Lily Rose Residential Services LLC located?

Lily Rose Residential Services LLC is located at 3102 Golansky Blvd Ste 202, Woodbridge, VA 22192. The listed phone number is (703) 401-4133.

What is Lily Rose Residential Services LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Lily Rose Residential Services LLC was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.