Organization Active NPI

Ritecare Concept LLC

  • Community/Behavioral Health Agency
  • Fairfax, VA
National Provider Identifier
1083260798
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RITECARE CONCEPT LLC
Practice address
11931 Appling Valley Rd
Fairfax, VA 22030-5701
Phone
(703) 278-8076
Fax
(703) 743-6031
NPI assigned
Aug 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Ellen Nenne Iduma, DNP, FNP-BCNPI 1417350018
Title
Director
Phone
(703) 278-8076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

11931 Appling Valley Rd
Fairfax, VA 22030-5701

Mailing address

11931 Appling Valley Rd
Fairfax, VA 22030-5701
Phone (703) 278-8076

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL ritecarehomehealthservices@gmail.com Direct
Other URL Fairfax

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1566086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1083260798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11931 APPLING VALLEY RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305701",
            "telephone_number": "703-278-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11931 APPLING VALLEY RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305701",
            "telephone_number": "703-278-8076",
            "fax_number": "703-743-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITECARE CONCEPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-18",
        "last_updated": "2021-06-01",
        "certification_date": "2021-05-30",
        "status": "A",
        "authorized_official_last_name": "IDUMA",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "NENNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-278-8076",
        "authorized_official_credential": "DNP, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ritecarehomehealthservices@gmail.com",
            "affiliation": "N",
            "endpointDescription": "organization's email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9420 Park Hunt Ct",
            "city": "Springfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221531351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fairfax",
            "affiliation": "N",
            "address_1": "11931 Appling Valley Rd",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220305701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.