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Lily Rose Residential Services LLC

Intellectual and/or Developmental Disabilities Residential Treatment Facility in Woodbridge, VA · enumerated 2021 · authorized official Chikata Khyne-Sam, Director.

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

National Provider Identifier

1992472120

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Registry record

Entity type Organization (Type 2)
Legal business name Lily Rose Residential Services LLC
Practice address 3102 Golansky Blvd Ste 202, Woodbridge, VA, 22192
Phone (703) 401-4133
Enumeration date Aug 25, 2021
Last updated in NPPES Aug 25, 2021

Taxonomy & classification

320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Chikata Khyne-Sam
Title Director
Phone (703) 401-4133

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.

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Frequently asked questions

What is the NPI number for Lily Rose Residential Services LLC?
The NPI for Lily Rose Residential Services LLC is 1992472120, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lily Rose Residential Services LLC?
NPPES lists Chikata Khyne-Sam (Director) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-08-25.