Lily Rose Residential Services LLC
NPI 1992472120 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Woodbridge, VA
Lily Rose Residential Services LLC is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Woodbridge, VA (NPI 1992472120).
Provider details
- NPI number
- 1992472120
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Chikata Khyne-Sam, Director(703) 401-4133
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- 2021-08-25
- Last updated
- 2021-08-25
- Certified
- 2021-08-25
Frequently asked questions
- What is Lily Rose Residential Services LLC's NPI number?
- Lily Rose Residential Services LLC's National Provider Identifier (NPI) is 1992472120, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lily Rose Residential Services LLC?
- Lily Rose Residential Services LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Lily Rose Residential Services LLC located?
- Lily Rose Residential Services LLC's practice location on file with NPPES is 3102 Golansky Blvd Ste 202, Woodbridge, VA 22192-4244.
- What is Lily Rose Residential Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Lily Rose Residential Services LLC is (703) 401-4133.
- Who is the authorized official for Lily Rose Residential Services LLC?
- The authorized official listed on Lily Rose Residential Services LLC's NPPES record is Chikata Khyne-Sam, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lily Rose Residential Services LLC's NPI active?
- Yes — Lily Rose Residential Services LLC's NPI (1992472120) is active in the NPPES registry as of the last update on 2021-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.