Organization Active NPI

Adom Group Homes LLC

  • Developmentally Disabled Services Day Training Agency
  • Fredericksburg, VA
National Provider Identifier
1922870682
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ADOM GROUP HOMES LLC
Practice address
15 Otto Way
Fredericksburg, VA 22406-7464
Phone
(571) 406-9785
NPI assigned
Oct 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Jemima ManuNPI 1386325322
Title
MD
Phone
(571) 406-9785

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

15 Otto Way
Fredericksburg, VA 22406-7464

Mailing address

15 Otto Way
Fredericksburg, VA 22406-7464
Phone (571) 406-9785

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.

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1922870682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OTTO WAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224067464",
            "telephone_number": "571-406-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OTTO WAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224067464",
            "telephone_number": "571-406-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOM GROUP HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "MANU",
        "authorized_official_first_name": "JEMIMA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "571-406-9785"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.