Pederec Supported Living LLC

Primary specialty

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

Legal business name

PEDEREC SUPPORTED LIVING LLC

Practice address

14115 Lovers LN Ste 120
Culpeper, VA 22701-4157

Phone

(571) 237-7725

Fax

(757) 935-0240

NPI assigned

Nov 7, 2025

Organization subpart

No

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

Authorized official

Name

Jeroline Fai, BSN

Title

Clinical Manager

Phone

(571) 327-7252

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert D Fai

  • Assistant Behavior Analyst
  • Herndon, VA
  • NPI 1558997007
  NPD

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1871463661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14115 LOVERS LN STE 120",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227014157",
            "telephone_number": "571-237-7725",
            "fax_number": "757-935-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14115 LOVERS LN STE 120",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227014157",
            "telephone_number": "571-237-7725",
            "fax_number": "757-935-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDEREC SUPPORTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "FAI",
        "authorized_official_first_name": "JEROLINE",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "571-327-7252",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pranav D. Patel, M.D.
• Sudha Pandit Patil, D.D.S.,M.S.
• Karleigh Pearl Payne, RBT
• Joanne Peach, NP
• Pederec Inc.
• Tarebiye Pela, M.D.
• Shellee May Pelayo
• Laura Pereiras
• Catherine V Perry, MD
• Stephanie R. Phillips, NP

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Culpeper, VA
• Providers in Culpeper, 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 Nov 7, 2025; 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.