Organization 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
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
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

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Fatu FornahNPI 1164116737
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)CodeLicenseStatePrimary
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 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": "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.

Verify at the official NPI Registry.