Vidacare LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

VIDACARE LLC

Practice address

1629 K Street NW
Ste 300
Washington, DC 20006

Phone

(202) 403-2284

NPI assigned

Jan 20, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lyman Terry Maddox Jr., PHDNPI 1386354728

Title

Ceo

Phone

(202) 412-3725

Specialties & licenses 2

Addresses

Other names 1

• VidaCare LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lyman Terry Maddox Jr.

  • Contractor
  • Washington, DC
  • NPI 1386354728
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1003521378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 K STREET NW",
            "address_2": "STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061631",
            "telephone_number": "202-403-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 K STREET NW",
            "address_2": "STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20006",
            "telephone_number": "202-403-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDACARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "LYMAN",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-412-3725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VidaCare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Lynn Victor, LICSW
• Victoria Albina Health & Wellness
• Victoria Home Health Care LLC
• Victory Homes
• Victory Medical Supplies LLC
• Savanna I Vidal
• Timothy Vidale, D.P.T.
• Atiba Vheir Vidato, LPC
• Anthony James Videckis
• Josephine Vidic

• Health Maintenance Organization in Washington, DC
• Providers in Washington, DC by specialty
• Health Maintenance Organization in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.