Active NPI
Seldam Healthcare, LLC
- Adult Care Home Facility
- Alexandria, VA
National Provider Identifier
1487426193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- SELDAM HEALTHCARE, LLC
- Practice address
- 435 N Armistead St
Alexandria, VA 22312-2858 - Phone
- (240) 491-6353
- NPI assigned
- Oct 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Merlin Fongang
- Title
- Ceo
- Phone
- (240) 491-6353
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
435 N Armistead St
Alexandria, VA 22312-2858
Mailing address
9311 Small Dr
Clinton, MD 20735-3538
Phone (240) 491-6353
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Aide
- Washington, DC
- NPI 1558791962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698192000000",
"number": "1487426193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9311 SMALL DR",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353538",
"telephone_number": "240-491-6353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 N ARMISTEAD ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223122858",
"telephone_number": "240-491-6353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELDAM HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-25",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A",
"authorized_official_last_name": "FONGANG",
"authorized_official_first_name": "MERLIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "240-491-6353"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.