Active NPI
Rossybright Health Services, LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Centreville, VA
National Provider Identifier
1013618941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Rossybright
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Alexandria, VA
- NPI 1811358328
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Aide
- Washington, DC
- NPI 1770848715
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.