Unique Residential LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

UNIQUE RESIDENTIAL LLC

Practice address

4410 Potomac Highlands Cir
Triangle, VA 22172-1789

Phone

(703) 884-6202

NPI assigned

Mar 14, 2024

Organization subpart

No

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

Authorized official

Name

Terence Numvi, CEO

Title

Chief Executive Officer

Phone

(703) 884-6202

Specialties & licenses 1

Addresses

Practitioners 1

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

• Raissa Rella Ngwa Vemombih

  • Developmentally Disabled Services Day Training Agency
  • Triangle, VA
  • NPI 1518720424

  Day Training, Developmentally Disabled Services

  NPD

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1043079957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 POTOMAC HIGHLANDS CIR",
            "city": "TRIANGLE",
            "state": "VA",
            "postal_code": "221721789",
            "telephone_number": "703-884-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 POTOMAC HIGHLANDS CIR",
            "city": "TRIANGLE",
            "state": "VA",
            "postal_code": "221721789",
            "telephone_number": "703-884-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "NUMVI",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "703-884-6202",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gregory C Wilson, LCSW
• Alex P Yadao, MD

• All providers in Triangle, VA
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.