Home away Residential services LLC – Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility, NPI 1164076790

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Home away Residential services LLC is a healthcare provider. based in Woodbridge, Virginia. specializing in Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. The NPI Number for Home away Residential services LLC is 1164076790

Main info

Organization
Name
Home away Residential services LLC
NPI
1164076790
Phone
(301) 807-6184
Address
4304 ELDORADO DR
Authorized Official
MR. NKENGLEFE FELIX ATANGCHO OWNER
Enumeration Date
31 July 2019
Last Update Date
31 July 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness80
Years active:6State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Home away Residential services LLC

  • 4304, Eldorado Drive, Evansdale, Woodbridge, Prince William County, Virginia, 22193, United States

    WOODBRIDGE, VA 221932716

    Phone: (301) 807-6184

    Fax: (301) 464-0225

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22193)

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Reviews

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Frequently asked questions

Is there an official ID for Home away Residential services LLC in U.S. healthcare records?
The official identifier for Home away Residential services LLC is NPI 1164076790.
Is Home away Residential services LLC shown as active in public data?
Registry records indicate Home away Residential services LLC maintains an active NPI.
What expertise is attributed to Home away Residential services LLC?
Home away Residential services LLC's specialty line reads Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. Clinical services aligned with this taxonomy classification.
Where in Virginia is Home away Residential services LLC registered?
Use Woodbridge, Virginia as the headline location for Home away Residential services LLC here.
Can I trust this NPI listing for Home away Residential services LLC?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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