Organization Active NPI

Dedicated Care Health Services, Inc.

  • Community/Behavioral Health Agency
  • Washington, DC
National Provider Identifier
1407334816
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
060117-312 Issued in DC
Legal business name
DEDICATED CARE HEALTH SERVICES, INC.
Practice address
7600 Georgia Ave NW Ste 205
Washington, DC 20012-1616
Phone
(202) 723-1200
Fax
(202) 723-1211
NPI assigned
Jul 30, 2018
Last updated
Jul 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Authorized official

Name
Thomas Amibang Tanue
Title
Ceo
Phone
(202) 723-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 060117-312 DC Primary

Addresses

Primary practice location

7600 Georgia Ave NW Ste 205
Washington, DC 20012-1616

Mailing address

7600 Georgia Ave NW Ste 205
Washington, DC 20012-1616
Phone (202) 723-1200

Other identifiers 1

IdentifierTypeStateIssuer
060117-312OtherDCDBH - CORE SERVICE AGENCY CERTIFICATION

National Provider Directory

National Provider Directory

Locations

7600 Georgia Ave NW
Ste 205
Washington, DC 20012
Phone (202) 723-1200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1407334816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 GEORGIA AVE NW STE 205",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121616",
            "telephone_number": "202-723-1200",
            "fax_number": "202-723-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 GEORGIA AVE NW STE 205",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121616",
            "telephone_number": "202-723-1200",
            "fax_number": "202-723-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED CARE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "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": "202-723-1200"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DC",
            "license": "060117-312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBH - CORE SERVICE AGENCY CERTIFICATION",
            "identifier": "060117-312",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.