Organization Active NPI

The Village Residential Home

  • Public Health or Welfare Agency
  • Broadlands, VA
National Provider Identifier
1811829740
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
THE VILLAGE RESIDENTIAL HOME
Practice address
43146 Crosswind Ter
Broadlands, VA 20148-5318
Phone
(703) 855-0503
NPI assigned
Jun 3, 2026
Last updated
Jun 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Suad Jama, CEO
Title
Founder
Phone
(703) 855-0503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

43146 Crosswind Ter
Broadlands, VA 20148-5318

Mailing address

43146 Crosswind Ter
Broadlands, VA 20148-5318
Phone (703) 855-0503

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1811829740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43146 CROSSWIND TER",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201485318",
            "telephone_number": "703-855-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43146 CROSSWIND TER",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201485318",
            "telephone_number": "703-855-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE RESIDENTIAL HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "SUAD",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "703-855-0503",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadlands, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.