Organization Active NPI

Exceptional Hands Group Home LLC

  • Community/Behavioral Health Agency
  • Stafford, VA
National Provider Identifier
1033855960
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EXCEPTIONAL HANDS GROUP HOME LLC
Practice address
71 Kinross Dr
Stafford, VA 22554-6579
Phone
(302) 397-7581
NPI assigned
May 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Authorized official

Name
Sarian Diallo
Title
CNS
Phone
(302) 397-7581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

71 Kinross Dr
Stafford, VA 22554-6579

Mailing address

71 Kinross Dr
Stafford, VA 22554-6579

Other identifiers 1

IdentifierTypeStateIssuer
881919443OtherVAFEDERAL GOVERNMENT

National Provider Directory

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": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1033855960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 KINROSS DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225546579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 KINROSS DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225546579",
            "telephone_number": "302-397-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL HANDS GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "DIALLO",
        "authorized_official_first_name": "SARIAN",
        "authorized_official_title_or_position": "CNS",
        "authorized_official_telephone_number": "302-397-7581"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL GOVERNMENT",
            "identifier": "881919443",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.