Alternative Living Residence

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ALTERNATIVE LIVING RESIDENCE

Practice address

14090 Big Crest LN Apt 207
Woodbridge, VA 22191-5531

Phone

(157) 477-8097

NPI assigned

Nov 14, 2023

Organization subpart

No

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

Authorized official

Name

Lydia T JannahNPI 1700650462

Title

Owner

Phone

(571) 477-8097

Specialties & licenses 1

Addresses

Tax ID family

Alternative Living Residence2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Alternative Living Residences LLC

  • In Home Supportive Care Agency
  • Stafford, VA
  • NPI 1689428849
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lydia Tity Jannah

  • In Home Supportive Care Agency
  • Woodbridge, VA
  • NPI 1700650462
  NPD Authorized official

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1316711948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FLEWELLEN DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547829",
            "telephone_number": "571-477-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14090 BIG CREST LN APT 207",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915531",
            "telephone_number": "157-477-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE LIVING RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "JANNAH",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-477-8097"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Louai Alsamman, RPH
• Megan Anne Alsbrooks
• Seddam Yahya Alshahari
• Darris Alston Jr.
• Altahir Behavior Health PLC
• Alternative Solutions Lifeline Inc. (My Elite Concierge Services Inc.)
• Ashley Altmann
• Ronney O Alvarado
• Amaanah Life Care Services
• Cindya Y Amador

• In Home Supportive Care Agency in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.