OrganizationActive
Home Away Residential Services LLC
NPI 1164076790 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Woodbridge, VA
Provider details
- NPI number
- 1164076790
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Nkenglefe Atangcho, Owner(301) 807-6184
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
4304 Eldorado Dr
Woodbridge, VA 22193-2716
Phone: (301) 807-6184
Fax: (301) 464-0225
Street-level locationGet directions
Mailing address
4304 Eldorado Dr
Woodbridge, VA 22193-2716
Other names (DBA / former)
- Former legal business name
- Home Away Residential Services LLC
Registry dates
- Enumerated
- 2019-07-31
- Last updated
- 2019-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.