Persevere Residential Services

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

PERSEVERE RESIDENTIAL SERVICES

Practice address

3446 Chelsea Dr
Woodbridge, VA 22192-4358

Phone

(703) 587-8061

Fax

(571) 285-4230

NPI assigned

Nov 7, 2024

Organization subpart

No

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

Authorized official

Name

Candida Eyamidae Cole

Title

Ceo

Phone

(703) 703-8061

Specialties & licenses 2

Addresses

Other names 1

• PERSEVERE HEALTH CARE LLC Former legal business name

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1083437941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3446 CHELSEA DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924358",
            "telephone_number": "703-587-8061",
            "fax_number": "571-285-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3446 CHELSEA DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924358",
            "telephone_number": "703-587-8061",
            "fax_number": "571-285-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSEVERE RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "CANDIDA",
        "authorized_official_middle_name": "EYAMIDAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-703-8061"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PERSEVERE HEALTH CARE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "PERSEVERE HEALTH CARE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• 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 Feb 18, 2025; 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.