Organization Active NPI

Obg Home Life Solutions LLC

  • Developmentally Disabled Services Day Training Agency
  • Alexandria, VA
National Provider Identifier
1821813668
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
OBG HOME LIFE SOLUTIONS LLC
Practice address
615 Swann Ave Apt 106
Alexandria, VA 22301-1451
Phone
(703) 299-2489
NPI assigned
Nov 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Ms. Crystal O Gaston
Title
Member/Dir of Residential Programs
Phone
(240) 533-1199

Specialties & licenses 1

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

Addresses

Primary practice location

615 Swann Ave Apt 106
Alexandria, VA 22301-1451

Mailing address

5618 Galloway Dr
Oxon Hill, MD 20745-3227
Phone (240) 533-1199

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1821813668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5618 GALLOWAY DR",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453227",
            "telephone_number": "240-533-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SWANN AVE APT 106",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223011451",
            "telephone_number": "703-299-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBG HOME LIFE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "GASTON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MEMBER/DIR OF RESIDENTIAL PROGRAMS",
        "authorized_official_telephone_number": "240-533-1199",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.