Reverence and Resilience Direct Care Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

REVERENCE AND RESILIENCE DIRECT CARE SERVICES

Doing business as

Reverenceand Resilience Direct Care Service

Practice address

15277 Forest Grove Dr
Woodbridge, VA 22191-3911

Phone

(703) 349-0963

Fax

(703) 441-1789

NPI assigned

Jul 14, 2008

Last updated

Jul 14, 2008By 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

Mr. Michael Opoku Agyeman

Title

Executive Director

Phone

(703) 386-6392

Specialties & licenses 1

Addresses

Other names 1

• Reverenceand Resilience Direct Care Service Doing business as

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1639333123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15277 FOREST GROVE DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913911",
            "telephone_number": "703-349-0963",
            "fax_number": "703-441-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15277 FOREST GROVE DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913911",
            "telephone_number": "703-349-0963",
            "fax_number": "703-441-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVERENCE AND RESILIENCE DIRECT CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "AGYEMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "OPOKU",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "703-386-6392",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reverenceand Resilience Direct Care Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.