Organization Active NPI

Emelia Residential Services LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Triangle, VA
National Provider Identifier
1366300428
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
EMELIA RESIDENTIAL SERVICES LLC
Practice address
3368 Logstone Dr
Triangle, VA 22172-2053
Phone
(571) 334-4508
NPI assigned
Jan 15, 2026
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Ebenezer Agyemang-Kusi
Title
Owner
Phone
(571) 334-4508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

3368 Logstone Dr
Triangle, VA 22172-2053

Mailing address

3368 Logstone Dr
Triangle, VA 22172-2053

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1366300428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3368 LOGSTONE DR",
            "city": "TRIANGLE",
            "state": "VA",
            "postal_code": "221722053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3368 LOGSTONE DR",
            "city": "TRIANGLE",
            "state": "VA",
            "postal_code": "221722053",
            "telephone_number": "571-334-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMELIA RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "AGYEMANG-KUSI",
        "authorized_official_first_name": "EBENEZER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-334-4508"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Triangle, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.