Saint Augustine Group Homes, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

SAINT AUGUSTINE GROUP HOMES, LLC

Practice address

13402 Nickleson Dr
Woodbridge, VA 22193-4131

Phone

(571) 213-0778

NPI assigned

Jan 2, 2024

Last updated

Jan 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Augustine Danquah

Title

Ceo

Phone

(571) 213-0778

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1952171910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13402 NICKLESON DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934131",
            "telephone_number": "571-213-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13402 NICKLESON DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934131",
            "telephone_number": "571-213-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT AUGUSTINE GROUP HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "DANQUAH",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "571-213-0778"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.