Brenda's Healthcare Services

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

BRENDA'S HEALTHCARE SERVICES

Practice address

3500 Eagle Ridge Dr
Woodbridge, VA 22191-6566

Phone

(405) 361-8957

NPI assigned

Sep 14, 2023

Organization subpart

No

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

Authorized official

Name

Beatrice Fomunen

Title

Director

Phone

(405) 361-8957

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1659158475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 OBSERVATION CT APT 304",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208766413",
            "telephone_number": "405-361-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 EAGLE RIDGE DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916566",
            "telephone_number": "405-361-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA'S HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "FOMUNEN",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-361-8957"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Brandle
• Jason Dennis Brandt, D.D.S.
• Jennifer G Braun, M.S. CCC-SLP
• Joel R Braunfeld, DDS
• Breakthru Health Care Services, LLC
• Deanna Brevard
• Brew Home Care Agency
• Jennifer Brewer, B.S.
• Bridgepoint Home Health LLC (Bridgepoint Home LLC)
• Bridgewater Psychiatrics

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.