NPIMap

Organization Active NPI

Passion Residential Services LLC

  • Developmentally Disabled Services Day Training Agency
  • Triangle, VA
National Provider Identifier
1700522331
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PASSION RESIDENTIAL SERVICES LLC
Practice address
18416 Cabin Rd
Triangle, VA 22172-1407
Phone
(703) 891-2969
Fax
(703) 891-2970
NPI assigned
May 6, 2022
Last updated
Aug 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Mr. Robert N EssienNPI 1174204770
Title
Adminstrator
Phone
(571) 241-1025

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

18416 Cabin Rd
Triangle, VA 22172-1407

Mailing address

18416 Cabin Rd
Triangle, VA 22172-1407
Phone (703) 891-2969

Other practice location 1

6803 Backlick Rd Ste C
Springfield, VA 22150-3073
Phone (571) 241-1025

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1700522331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18416 CABIN RD",
            "city": "TRIANGLE",
            "state": "VA",
            "postal_code": "221721407",
            "telephone_number": "703-891-2969",
            "fax_number": "703-891-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18416 CABIN RD",
            "city": "TRIANGLE",
            "state": "VA",
            "postal_code": "221721407",
            "telephone_number": "703-891-2969",
            "fax_number": "703-891-2970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6803 Backlick Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221503073",
            "country_code": "US",
            "telephone_number": "571-241-1025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PASSION RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "ESSIEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "571-241-1025",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "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 Aug 31, 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.