Organization Active NPI

Rossybright Health Services, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Centreville, VA
National Provider Identifier
1013618941
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
ROSSYBRIGHT HEALTH SERVICES, LLC
Practice address
5709 Cedar Walk Apt 201
Centreville, VA 20121-4528
Phone
(443) 622-9330
Fax
(703) 738-7814
NPI assigned
Mar 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kizito Fonjong Tembu Sr.
Title
Administrator
Phone
(443) 622-9330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

5709 Cedar Walk Apt 201
Centreville, VA 20121-4528

Mailing address

5680 King Centre Dr Ste 600
Alexandria, VA 22315-5755
Phone (703) 647-3886

National Provider Directory

National Provider Directory
Tax ID family
Rossybright2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1013618941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 KING CENTRE DR STE 600",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155755",
            "telephone_number": "703-647-3886",
            "fax_number": "703-738-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5709 CEDAR WALK APT 201",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201214528",
            "telephone_number": "443-622-9330",
            "fax_number": "703-738-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSSYBRIGHT HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-09-06",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "TEMBU",
        "authorized_official_first_name": "KIZITO",
        "authorized_official_middle_name": "FONJONG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "443-622-9330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.