Rescare of Virginia Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

RESCARE OF VIRGINIA INC

Practice address

2511 Jamaica Dr
Alexandria, VA 22303-2311

Phone

(703) 867-7115

NPI assigned

Dec 23, 2020

Last updated

Dec 23, 2020By 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

Abayomi AjibolaNPI 1326060286

Title

Ceo

Phone

(703) 867-7115

Specialties & licenses 1

Addresses

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.

• Abayomi Tomori Ajibola

  • Home Health Registered Nurse
  • Washington, DC
  • NPI 1326060286
  NPD Authorized official

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1407443427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 JAMAICA DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223032311",
            "telephone_number": "703-867-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 JAMAICA DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223032311",
            "telephone_number": "703-867-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESCARE OF VIRGINIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "AJIBOLA",
        "authorized_official_first_name": "ABAYOMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-867-7115"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.