Organization Active NPI

Del Professional Healthcare, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Dumfries, VA
National Provider Identifier
1184268955
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
DEL PROFESSIONAL HEALTHCARE, LLC
Practice address
17472 Tangariro SQ
Dumfries, VA 22025-1958
Phone
(703) 402-2047
NPI assigned
Nov 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Authorized official

Name
Victoria Obeng
Title
Director
Phone
(703) 402-2047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

17472 Tangariro SQ
Dumfries, VA 22025-1958

Mailing address

17472 Tangariro SQ
Dumfries, VA 22025-1958
Phone (703) 402-2047

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1184268955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17472 TANGARIRO SQ",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251958",
            "telephone_number": "703-402-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17472 TANGARIRO SQ",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251958",
            "telephone_number": "703-402-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL PROFESSIONAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "OBENG",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-402-2047"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.