Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Providing Equal Opportunity Progressive Living Environments, LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fredericksburg, VA · enumerated 2008 · authorized official Justin Dameron, Owner/Director of Finance.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174782304

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Providing Equal Opportunity Progressive Living Environments, LLC

Other name <Unavail>

Practice address 10301 Kupperton Ct, Fredericksburg, VA, 22408

Phone (540) 373-8096

Enumeration date Jun 3, 2008

Last updated in NPPES Jun 3, 2008

Taxonomy & classification

320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities · License 112501001 (VA) Primary

Authorized official

Name Justin Dameron

Title Owner/Director of Finance

Phone (540) 373-8096

Other identifiers

Identifier	Type	State	Issuer
112501001	Other	VA	DEPARTMENT OF MENTAL HEALTH MENTAL RETARDATION AND SUBSTANCE ABUSE SERVICES

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Providing Equal Opportunity Progressive Living Environments, LLC?

Providing Equal Opportunity Progressive Living Environments, LLC is registered in NPPES as a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-03.