Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aurum Providence LLC

Organization Developmentally Disabled Services Day Training Agency · NPI 1306738661

Aurum Providence LLC is a Developmentally Disabled Services Day Training Agency in Chantilly, Virginia. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4406 Tulip Tree Ct
Chantilly, VA 20151-2441
Phone: (703) 899-6774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary) Taxonomy 251C00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X

Record details

NPI number1306738661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Taeksoo Lee — Ceo · (703) 899-6774
Other names Aurum Home; Aurum Home
NPI enumeratedJuly 18, 2025
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026
Mailing address4371 Strawflower St, Fairfax, VA 22030-5781

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