Organization Active NPI

Rosa Villosa Residential Home LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Fredericksburg, VA
National Provider Identifier
1982462149
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
ROSA VILLOSA RESIDENTIAL HOME LLC
Practice address
2 Brookstone Dr
Fredericksburg, VA 22405-2794
Phone
(571) 275-8914
NPI assigned
Mar 11, 2024
Last updated
Oct 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Rosemond Dankwah
Title
Program Director
Phone
(571) 275-8914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

2 Brookstone Dr
Fredericksburg, VA 22405-2794

Mailing address

105 Cates LN
Stafford, VA 22554-3364
Phone (571) 275-8991

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1982462149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CATES LN",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225543364",
            "telephone_number": "571-275-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BROOKSTONE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052794",
            "telephone_number": "571-275-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSA VILLOSA RESIDENTIAL HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "DANKWAH",
        "authorized_official_first_name": "ROSEMOND",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "571-275-8914"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "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 21, 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.