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Goodwill Homes Llc
Child Intellectual and/or Developmental Disabilities Respite Care in Fairfax, Virginia
NPI 1154001139

Goodwill Homes Llc is a Child Intellectual and/or Developmental Disabilities Respite Care based in Fairfax, VA and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Goodwill Homes Llc practices in Fairfax, VA. The NPI Number for Goodwill Homes Llc is 1154001139 and holds a License No. (Virginia).

The current practice location address for Goodwill Homes Llc is 13126 Mercury Ln, Fairfax, VA and can be reached out via phone at 202-258-3344. You can also correspond with Goodwill Homes Llc through the mailing address at 13126 MERCURY LN, FAIRFAX, VA - 22033-3711 (mailing address contact number: 202-258-3344).

Location: 13126 Mercury Ln, Fairfax, VA, 22033-3711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154001139
Provider Name
Goodwill Homes Llc
Credential
Provider Entity Type
Organization
Address
13126 Mercury Ln, Fairfax, VA, 22033-3711
Phone Number
202-258-3344
Fax Number
Provider Enumeration Date
07/24/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
13126 Mercury Ln
City
Fairfax
State
Virginia
Zip
22033-3711
Phone Number
202-258-3344
Fax Number
person
Provider Business Mailing Address Details
Address
13126 Mercury Ln
City
Fairfax
State
Virginia
Zip
22033-3711
Phone Number
202-258-3344
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
()
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 3
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
person
Provider's Taxonomy Details 4
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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