Organization Active NPI

Boagem Healthcare Services Inc.

  • Home Health Agency
  • Woodbridge, VA
National Provider Identifier
1346655701
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO-14537 Issued in VA
Legal business name
BOAGEM HEALTHCARE SERVICES INC.
Doing business as
Premier Plus Homecare
Practice address
4008 Genesee PL
Suite 105
Woodbridge, VA 22192-8306
Phone
(703) 580-8118
Fax
(703) 580-9308
NPI assigned
Jun 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Mr. Prince Afari Boateng
Title
President
Phone
(703) 580-8118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO-14537 VA Primary

Addresses

Primary practice location

4008 Genesee PL
Suite 105
Woodbridge, VA 22192-8306

Mailing address

4008 Genesee PL
Suite 105
Woodbridge, VA 22192-8306
Phone (703) 580-8118

Other identifiers 2

IdentifierTypeStateIssuer
0156853951MedicaidVA
0156854413MedicaidVA

Other names 1

  • Premier Plus Homecare Doing business as

National Provider Directory

National Provider Directory

Locations

4008 Genesee Pl
Ste 105
Woodbridge, VA 22192
Phone (703) 455-3385

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1346655701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 GENESEE PL",
            "address_2": "SUITE 105",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928306",
            "telephone_number": "703-580-8118",
            "fax_number": "703-580-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 GENESEE PL",
            "address_2": "SUITE 105",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928306",
            "telephone_number": "703-580-8118",
            "fax_number": "703-580-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOAGEM HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "BOATENG",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_middle_name": "AFARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-580-8118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-14537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156853951",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156854413",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Plus Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 24, 2014; 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.