SCARLET HAVEN RESIDENTIAL SERVICES NPI 1548631310

NPI Information

NPI: 1548631310
Provider Name: SCARLET HAVEN RESIDENTIAL SERVICES
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address: 1346 OLD BRIDGE RD
SUITE 100
WOODBRIDGE, VA
ZIP 22192
Phone: (240) 645-7642

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NPI Details

SCARLET HAVEN RESIDENTIAL SERVICES is a residential treatment facility, intellectual and/or developmental disabilities in Woodbridge, VA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. SCARLET HAVEN RESIDENTIAL SERVICES NPI is 1548631310. The provider is registered as an organization entity type.

The provider's business location address is:

1346 OLD BRIDGE RD
SUITE 100
WOODBRIDGE, VA
ZIP 22192-743
Phone: (240) 645-7642
Fax: (703) 890-3160

The provider's authorized official is Eula Khadijatu Secka .
The authorized official title is Administrator and has the following contact phone number (240) 645-7642.

The enumeration date for this NPI number is 10/19/2015 and was last updated on 10/19/2015.

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	License Number	License State	Primary
1	251F00000X	Home Infusion	2371-01-001	VIRGINIA	No
2	251J00000X	Nursing Care	2371-01-001	VIRGINIA	No
3	251S00000X	Community/Behavioral Health	2371-01-001	VIRGINIA	No
4	253Z00000X	In Home Supportive Care	2371-01-001	VIRGINIA	No
5	314000000X	Skilled Nursing Facility	2371-01-001	VIRGINIA	No
6	343900000X	Non-emergency Medical Transport (VAN)	2371-01-001	VIRGINIA	No
7	251C00000X	Day Training, Developmentally Disabled Services	2371-01-001	VIRGINIA	No
8	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	2371-01-001	VIRGINIA	Yes

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
1	2371-01-001	OTHER	VIRGINIA	DBHDS
2	2371	OTHER	VIRGINIA	DBHDS

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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