Prime Care VA Solutions LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PRIME CARE VA SOLUTIONS LLC

Practice address

6073 Knights Ridge Way
Alexandria, VA 22310-1637

Phone

(202) 359-5194

NPI assigned

Jul 16, 2026

Last updated

Jul 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Haregu Mengistu

Title

Ceo

Phone

(703) 898-2328

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1784160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1366362675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6073 KNIGHTS RIDGE WAY",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223101637",
            "telephone_number": "202-359-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6073 KNIGHTS RIDGE WAY",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223101637",
            "telephone_number": "202-359-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE VA SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-16",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "MENGISTU",
        "authorized_official_first_name": "HAREGU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-898-2328"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.