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

Vidal Care Residency LLC

Organization Community/Behavioral Health Agency · NPI 1447041504

Vidal Care Residency LLC is a Community/Behavioral Health Agency in Suffolk, 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

109 Crocker St
Suffolk, VA 23434-2605
Phone: (757) 809-0301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X
Community/Behavioral Health Agency Taxonomy 251S00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1447041504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leary Williams — Co-Owner · (757) 609-1534
NPI enumeratedMay 16, 2025
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025
Mailing address126 Bowrider Dr, Suffolk, VA 23435-4117

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