NPI Information

  • NPI: 1568324440
  • Provider Name: ANDRA RESIDENTIAL SUPPORT SERVICES LLC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 8 PICKETT LN
    STAFFORD, VA
    ZIP 22556
  • Phone: (202) 403-9147

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NPI Details

ANDRA RESIDENTIAL SUPPORT SERVICES LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Stafford, 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. ANDRA RESIDENTIAL SUPPORT SERVICES LLC NPI is 1568324440. The provider is registered as an organization entity type.

The provider's business location address is:

8 PICKETT LN
STAFFORD, VA
ZIP 22556-472
Phone: (202) 403-9147

The provider's authorized official is Joyce Sakyi .
The authorized official title is Owner/administrator and has the following contact phone number (202) 403-9147.

The enumeration date for this NPI number is 11/28/2025 and was last updated on 11/28/2025.

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
1251B00000XCase ManagementNo
2251C00000XDay Training, Developmentally Disabled ServicesNo
3253Z00000XIn Home Supportive CareNo
4376J00000XHomemakerNo
5320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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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