NPI Information

  • NPI: 1568793669
  • Provider Name: GREATER WILLIAMSBURG RESIDENTIAL FACILITY, LP.
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Doing Business As: GREATER WILLIAMSBURG RESIDENTIAL FACILITY
  • Address: 602 TAM O SHANTER BLVD
    WILLIAMSBURG, VA
    ZIP 23185
  • Phone: (757) 903-4236

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NPI Details

GREATER WILLIAMSBURG RESIDENTIAL FACILITY, LP. is a community based residential treatment facility, intellectual and/or developmental disabilities in Williamsburg, 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. GREATER WILLIAMSBURG RESIDENTIAL FACILITY, LP. NPI is 1568793669. The provider is registered as an organization entity type.
The provider Is Doing Business As Greater Williamsburg Residential Facility.

The provider's business location address is:

602 TAM O SHANTER BLVD
WILLIAMSBURG, VA
ZIP 23185-922
Phone: (757) 903-4236

The provider's authorized official is Patrice Muhammad .
The authorized official title is Executive Director and has the following contact phone number (757) 903-4236.

The enumeration date for this NPI number is 1/29/2010 and was last updated on 1/29/2010.

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 Disabilities990VIRGINIAYes

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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