OrganizationActive
Vidal Care Residency LLC
NPI 1447041504 · Assisted Living Facility (Mental Illness) · Suffolk, VA
Provider details
- NPI number
- 1447041504
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Leary Williams, Co-Owner(757) 609-1534
Specialties & taxonomies
Nursing & Custodial Care Facilities
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
109 Crocker St
Suffolk, VA 23434-2605
Phone: (757) 809-0301
Street-level locationGet directions
Mailing address
126 Bowrider Dr
Suffolk, VA 23435-4117
Registry dates
- Enumerated
- 2025-05-16
- Last updated
- 2025-05-16
- Certified
- 2025-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.