Providence Community Service LLC
NPI 1053706812 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Chesterfield, VA
Providence Community Service LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Chesterfield, VA (NPI 1053706812).
Provider details
- NPI number
- 1053706812
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- John Edwards, C.e.o(804) 674-1044
- License
- 225301001 (VA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 225301001 (VA)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-03-30
- Last updated
- 2015-03-30
Frequently asked questions
- What is Providence Community Service LLC's NPI number?
- Providence Community Service LLC's National Provider Identifier (NPI) is 1053706812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Community Service LLC?
- Providence Community Service LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Providence Community Service LLC located?
- Providence Community Service LLC's practice location on file with NPPES is 7011 Egan Pl, Chesterfield, VA 23832-8310.
- What is Providence Community Service LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Community Service LLC is (804) 674-1044.
- Who is the authorized official for Providence Community Service LLC?
- The authorized official listed on Providence Community Service LLC's NPPES record is John Edwards, C.e.o. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Community Service LLC's NPI active?
- Yes — Providence Community Service LLC's NPI (1053706812) is active in the NPPES registry as of the last update on 2015-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.