Active NPI
Robertson'S Homecare and Residential Services, LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Alexandria, VA
National Provider Identifier
1932882503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- ROBERTSON'S HOMECARE AND RESIDENTIAL SERVICES, LLC
- Practice address
- 2000 N Beauregard St Apt 115
Alexandria, VA 22311-4633 - Phone
- (703) 991-9553
- NPI assigned
- Aug 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fatu Fornah
- Title
- Director
- Phone
- (240) 380-8406
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
2000 N Beauregard St Apt 115
Alexandria, VA 22311-4633
Mailing address
303 Marshalls Venture CT
Accokeek, MD 20607-3347
Phone (240) 380-8406
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Intellectual & Developmental Disabilities Psychologist
- Alexandria, VA
- NPI 1164116737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691625600000",
"number": "1932882503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 MARSHALLS VENTURE CT",
"city": "ACCOKEEK",
"state": "MD",
"postal_code": "206073347",
"telephone_number": "240-380-8406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 N BEAUREGARD ST APT 115",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223114633",
"telephone_number": "703-991-9553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERTSON'S HOMECARE AND RESIDENTIAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-10",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A",
"authorized_official_last_name": "FORNAH",
"authorized_official_first_name": "FATU",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "240-380-8406"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"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 Aug 10, 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.