Active NPI
G&G Respite Services
- Developmental Disabilities Clinic/Center
- Woodbridge, VA
National Provider Identifier
1215260492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Legal business name
- G&G RESPITE SERVICES
- Practice address
- 2810 Burrough Hill LN
Woodbridge, VA 22191-5155 - Phone
- (703) 973-8821
- Fax
- (703) 796-9615
- NPI assigned
- Sep 6, 2009
- Organization subpart
- Yes
- Parent organization
- G&G RESPITE SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Grace Vumah Mbengabong
- Title
- Rehab.Specialist
- Phone
- (703) 973-8821
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | DC | ||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X |
Addresses
Primary practice location
2810 Burrough Hill LN
Woodbridge, VA 22191-5155
Mailing address
2810 Burrough Hill LN
Woodbridge, VA 22191-5155
Phone (703) 973-8821
Other names 1
- G&G Respite services
National Provider Directory
National Provider Directory- Part of
- GG Respite Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252195200000",
"number": "1215260492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 BURROUGH HILL LN",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221915155",
"telephone_number": "703-973-8821",
"fax_number": "703-796-9615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 BURROUGH HILL LN",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221915155",
"telephone_number": "703-973-8821",
"fax_number": "703-796-9615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "G&G RESPITE SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "G&G RESPITE SERVICES",
"enumeration_date": "2009-09-06",
"last_updated": "2009-09-06",
"status": "A",
"authorized_official_last_name": "MBENGABONG",
"authorized_official_first_name": "GRACE",
"authorized_official_middle_name": "VUMAH",
"authorized_official_title_or_position": "REHAB.SPECIALIST",
"authorized_official_telephone_number": "703-973-8821",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "DC",
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "G&G Respite services",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.