PROVIDING EQUAL OPPORTUNITY PROGRESSIVE LIVING ENVIRONMENTS LLC NPI 1174782304

NPI Information

  • NPI: 1174782304
  • Provider Name: PROVIDING EQUAL OPPORTUNITY PROGRESSIVE LIVING ENVIRONMENTS, LLC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Other Name: P.E.O.P.L.E., LLC (ACRONYMN FOR COMPANY NAME)
  • Address: 10301 KUPPERTON CT
    FREDERICKSBURG, VA
    ZIP 22408
  • Phone: (540) 373-8096

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NPI Details

PROVIDING EQUAL OPPORTUNITY PROGRESSIVE LIVING ENVIRONMENTS, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Fredericksburg, VA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. PROVIDING EQUAL OPPORTUNITY PROGRESSIVE LIVING ENVIRONMENTS, LLC NPI is 1174782304. The provider is registered as an organization entity type.
The provider Other Name Is P.e.o.p.l.e., Llc (acronymn For Company Name).

The provider's business location address is:

10301 KUPPERTON CT
FREDERICKSBURG, VA
ZIP 22408-054
Phone: (540) 373-8096

The provider's authorized official is Justin Dameron .
The authorized official title is Owner/director Of Finance and has the following contact phone number (540) 373-8096.

The enumeration date for this NPI number is 6/3/2008 and was last updated on 6/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities112501001VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1112501001OTHERVIRGINIADEPARTMENT OF MENTAL HEALTH MENTAL RETARDATION AND SUBSTANCE ABUSE SERVICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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