Active NPI
Emelia Residential Services LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Triangle, VA
National Provider Identifier
1366300428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.