Justin'S Black Tea and Bread, a Tea Room LLC
NPI 1255684858 · Health Service Clinic/Center · Stafford, VA
Justin'S Black Tea and Bread, a Tea Room LLC is a Health Service Clinic/Center organization in Stafford, VA (NPI 1255684858).
Provider details
- NPI number
- 1255684858
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Justin Proctor, President Ceo(703) 589-5432
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Other names (DBA / former)
- Doing business as
- Peoples Healthcare Facility
Registry dates
- Enumerated
- 2012-10-19
- Last updated
- 2012-10-19
Frequently asked questions
- What is Justin'S Black Tea and Bread, a Tea Room LLC's NPI number?
- Justin'S Black Tea and Bread, a Tea Room LLC's National Provider Identifier (NPI) is 1255684858, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Justin'S Black Tea and Bread, a Tea Room LLC?
- Justin'S Black Tea and Bread, a Tea Room LLC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Justin'S Black Tea and Bread, a Tea Room LLC located?
- Justin'S Black Tea and Bread, a Tea Room LLC's practice location on file with NPPES is 1001 Providence St, Stafford, VA 22554-8300.
- What is Justin'S Black Tea and Bread, a Tea Room LLC's phone number?
- The practice phone number listed in the NPPES registry for Justin'S Black Tea and Bread, a Tea Room LLC is (703) 589-5432.
- Who is the authorized official for Justin'S Black Tea and Bread, a Tea Room LLC?
- The authorized official listed on Justin'S Black Tea and Bread, a Tea Room LLC's NPPES record is Justin Proctor, President Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Justin'S Black Tea and Bread, a Tea Room LLC's NPI active?
- Yes — Justin'S Black Tea and Bread, a Tea Room LLC's NPI (1255684858) is active in the NPPES registry as of the last update on 2012-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.