Organization Active NPI

Tresor Healthcare Inc

  • In Home Supportive Care Agency
  • Arlington, VA
National Provider Identifier
1427827872
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TRESOR HEALTHCARE INC
Practice address
2300 Wilson Blvd Ste 700
Arlington, VA 22201-5435
Phone
(301) 825-3098
NPI assigned
Dec 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Judicael Koanang
Title
Program Manager
Phone
(301) 825-3098

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TM1800X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2300 Wilson Blvd Ste 700
Arlington, VA 22201-5435

Mailing address

1624 U St SE
Washington, DC 20020-4831
Phone (301) 825-3098

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1427827872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 U ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200204831",
            "telephone_number": "301-825-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WILSON BLVD STE 700",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015435",
            "telephone_number": "301-825-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRESOR HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "KOANANG",
        "authorized_official_first_name": "JUDICAEL",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "301-825-3098"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.