Organization Active NPI

Dedicated Care Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
National Provider Identifier
1437768959
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DEDICATED CARE HEALTH SERVICES, INC.
Doing business as
DEDICATED CARE HEALTH SERVICES, INC.
Practice address
1160 Varnum St NE Ste 216
Washington, DC 20017-2106
Phone
(202) 723-1200
Fax
(202) 723-1211
NPI assigned
Jul 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1160 Varnum St NE Ste 216
Washington, DC 20017-2106

Mailing address

1160 Varnum St NE Ste 216
Washington, DC 20017-2106
Phone (202) 723-1200

Other practice location 1

1160 Varnum St NE Ste 215
Washington, DC 20017-2106
Phone (202) 723-1200

Other identifiers 1

IdentifierTypeStateIssuer
026913693MedicaidDC

Other names 1

  • DEDICATED CARE HEALTH SERVICES, INC. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1437768959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE STE 216",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172106",
            "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": "1160 VARNUM ST NE STE 216",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172106",
            "telephone_number": "202-723-1200",
            "fax_number": "202-723-1211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 Varnum St NE Ste 215",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200172106",
            "country_code": "US",
            "telephone_number": "202-723-1200",
            "fax_number": "202-723-1211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEDICATED CARE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "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": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026913693",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEDICATED CARE HEALTH SERVICES, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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, 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.