Isada Healthcare Services, Inc.

Primary specialty

Continence Care Registered NurseTaxonomy code 163WC2100X

Legal business name

ISADA HEALTHCARE SERVICES, INC.

Practice address

4355 Ridgewood Center Dr
Woodbridge, VA 22192-5308

Phone

(703) 665-4479

Fax

(703) 940-1116

NPI assigned

Apr 16, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Musa Bangura

Title

RN, MSN, Ceo

Phone

(703) 665-4479

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1518300938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 RIDGEWOOD CENTER DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925308",
            "telephone_number": "703-665-4479",
            "fax_number": "703-940-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 RIDGEWOOD CENTER DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925308",
            "telephone_number": "703-665-4479",
            "fax_number": "703-940-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISADA HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "BANGURA",
        "authorized_official_first_name": "MUSA",
        "authorized_official_title_or_position": "RN, MSN, CEO",
        "authorized_official_telephone_number": "703-665-4479",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WC2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Continence Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-13947",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF LINCENSURE AND CERTIFICATION",
            "identifier": "HCO-13947",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Registered Nurse in Virginia

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