=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952253015
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AURUM FOUNDATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/11/2026
-----------------------------------------------------
Last Update Date | 02/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4406 TULIP TREE CT
-----------------------------------------------------
City | CHANTILLY
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 20151-2441
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-899-6774
-----------------------------------------------------
Fax | 703-890-7173
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4371 STRAWFLOWER ST
-----------------------------------------------------
City | FAIRFAX
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22030-5781
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-899-6774
-----------------------------------------------------
Fax | 703-890-7173
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | TAEKSOO LEE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 703-854-1331
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251C00000X
-----------------------------------------------------
Taxonomy Name | Developmentally Disabled Services Day Training Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------