Organization Active NPI

Zaneessence Residential, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Woodbridge, VA
National Provider Identifier
1326889494
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
ZANEESSENCE RESIDENTIAL, LLC
Practice address
13935 Longwood Manor CT Apt 304
Woodbridge, VA 22191-2466
Phone
(443) 450-8932
NPI assigned
Jun 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Joyceline AlemgangNPI 1962189860
Title
Ceo
Phone
(443) 450-8932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

13935 Longwood Manor CT Apt 304
Woodbridge, VA 22191-2466

Mailing address

325 Devon Dr
Chestertown, MD 21620-3366
Phone (443) 450-8932

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1326889494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DEVON DR",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216203366",
            "telephone_number": "443-450-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13935 LONGWOOD MANOR CT APT 304",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912466",
            "telephone_number": "443-450-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZANEESSENCE RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "ALEMGANG",
        "authorized_official_first_name": "JOYCELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-450-8932"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 18, 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.