# THE VILLAGE RESIDENTIAL HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811829740
- **Authorized official:** SUAD JAMA CEO (FOUNDER)
- **Authorized official phone:** (703) 855-0503

## Contact information

- **Practice address:** 43146 CROSSWIND TER, BROADLANDS, VA 20148-5318
- **Practice address phone:** (703) 855-0503
- **Mailing address:** 43146 CROSSWIND TER, BROADLANDS, VA 20148-5318
- **Mailing address phone:** (703) 855-0503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/03/2026
- **Last updated:** 06/03/2026