Dreamsville Residential Services LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

DREAMSVILLE RESIDENTIAL SERVICES LLC

Practice address

3656 Stonewall Manor Dr
Triangle, VA 22172-1431

Phone

(571) 232-9172

NPI assigned

Jun 6, 2023

Last updated

Jun 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rahel Taye Woldesmayat

Title

Program Manager/ QDDP

Phone

(571) 232-9179

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1801580501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3656 STONEWALL MANOR DR",
            "city": "TRIANGLE",
            "state": "VA",
            "postal_code": "221721431",
            "telephone_number": "571-232-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3656 STONEWALL MANOR DR",
            "city": "TRIANGLE",
            "state": "VA",
            "postal_code": "221721431",
            "telephone_number": "571-232-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAMSVILLE RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-03",
        "status": "A",
        "authorized_official_last_name": "WOLDESMAYAT",
        "authorized_official_first_name": "RAHEL",
        "authorized_official_middle_name": "TAYE",
        "authorized_official_title_or_position": "PROGRAM MANAGER/ QDDP",
        "authorized_official_telephone_number": "571-232-9179"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Triangle, VA
• Providers in Triangle, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.