CBN Healthcare Residential Services,Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

CBN HEALTHCARE RESIDENTIAL SERVICES,INC

Practice address

1549 Old Bridge Rd Ste 303
Woodbridge, VA 22192-2737

Phone

(571) 398-2600

Fax

(571) 398-2599

NPI assigned

Dec 12, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Chiagozie Nwosu

Title

Ceo

Phone

(571) 398-2600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1144037284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15301 COMUS CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935877",
            "telephone_number": "703-589-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 OLD BRIDGE RD STE 303",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922737",
            "telephone_number": "571-398-2600",
            "fax_number": "571-398-2599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4389 Ensbrook Ln",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221932642",
            "country_code": "US",
            "telephone_number": "571-398-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CBN HEALTHCARE RESIDENTIAL SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "NWOSU",
        "authorized_official_first_name": "CHIAGOZIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "571-398-2600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Mental Illness Community Based Residential Treatment Facility in Virginia

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