AURUM PROVIDENCE LLC NPI 1306738661

NPI Information

NPI: 1306738661
Provider Name: AURUM PROVIDENCE LLC
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
:
Address: 4406 TULIP TREE CT
CHANTILLY, VA
ZIP 20151
Phone: (703) 899-6774

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NPI Details

AURUM PROVIDENCE LLC is a day training developmentally disabled services in Chantilly, VA. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. AURUM PROVIDENCE LLC NPI is 1306738661. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

4406 TULIP TREE CT
CHANTILLY, VA
ZIP 20151-441
Phone: (703) 899-6774

The provider's authorized official is Taeksoo Lee .
The authorized official title is Ceo and has the following contact phone number (703) 899-6774.

The enumeration date for this NPI number is 7/18/2025 and was last updated on 1/2/2026.

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	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	No
2	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	No
3	320800000X	Community Based Residential Treatment Facility, Mental Illness	No
4	251C00000X	Day Training, Developmentally Disabled Services	Yes

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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