Prestige Residential Services, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

PRESTIGE RESIDENTIAL SERVICES, LLC

Practice address

20 Varone Dr
Stafford, VA 22554-7897

Phone

(540) 419-0551

NPI assigned

Aug 14, 2023

Last updated

Aug 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Neneh Sesay

Title

Owner

Phone

(540) 419-0551

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1184407330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 VARONE DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547897",
            "telephone_number": "540-419-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 VARONE DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547897",
            "telephone_number": "540-419-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE RESIDENTIAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "SESAY",
        "authorized_official_first_name": "NENEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-419-0551"
    },
    "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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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.