Organization · Type 2 NPI

Winston's Residential, LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · North Chesterfield, VA

NPI number 1205581071 Active

Practice location

4813 Pawpans Ct
North Chesterfield, VA 23237-2115

Call (804) 363-9879 Map

Mailing address

14649 Grand Forest Ter
South Chesterfield, VA 23834-6827

Specialties and licenses

Taxonomy	Code	License
Nursing Care Agency	251J00000X	None listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed
Non-emergency Medical Transport (VAN)	343900000X	None listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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NPI record

NPI: 1205581071
Entity type: Organization (Type 2)
Issued: Feb 19, 2022
Last updated: Nov 10, 2022
Status: Active

Other names

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Winston's Residential, LLC · other name
Winston's Residential, LLC · other name

Authorized official

Mrs. Sonia Ivette Winston, RN
Owner/ceo
(804) 363-9879

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205581071

Winston's Residential, LLC's National Provider Identifier is 1205581071, issued on Feb 19, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in North Chesterfield, VA. The record was last updated on Nov 10, 2022.