Organization Active NPI

Dedicated Care Health Services Inc

  • Case Management Agency
  • Woodbridge, VA
National Provider Identifier
1316397565
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DEDICATED CARE HEALTH SERVICES INC
Practice address
5571 Saint Charles Dr
Woodbridge, VA 22193-3537
Phone
(301) 257-3504
NPI assigned
Jun 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
Mr. Thomas Amibang Tanue
Title
Ceo
Phone
(301) 257-3504

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X

Addresses

Primary practice location

5571 Saint Charles Dr
Woodbridge, VA 22193-3537

Mailing address

5571 Saint Charles Dr
Woodbridge, VA 22193-3537
Phone (301) 257-3504

National Provider Directory

National Provider Directory
Tax ID family
Dedicated Care Health Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1316397565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5571 SAINT CHARLES DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933537",
            "telephone_number": "301-257-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5571 SAINT CHARLES DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933537",
            "telephone_number": "301-257-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED CARE HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "TANUE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "AMIBANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-257-3504",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.