Organization Active NPI

Otrada Adult Day Healthcare Center,

  • Adult Day Care Clinic/Center
  • Vienna, VA
National Provider Identifier
1700085479
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
OTRADA ADULT DAY HEALTHCARE CENTER,
Doing business as
Joy Adult Day Healthcare Center
Practice address
8530 Amanda PL
Vienna, VA 22180-6873
Phone
(703) 992-6688
Fax
(703) 942-6776
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
Dong Chul Choi
Title
Owner
Phone
(703) 498-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

8530 Amanda PL
Vienna, VA 22180-6873

Mailing address

8530 Amanda PL
Vienna, VA 22180-6873
Phone (703) 942-6688

Other names 1

  • Joy Adult Day Healthcare Center Doing business as

National Provider Directory

National Provider Directory

Locations

8530 Amanda Pl
Vienna, VA 22180
Phone (240) 505-5544

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1700085479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 AMANDA PL",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221806873",
            "telephone_number": "703-942-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 AMANDA PL",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221806873",
            "telephone_number": "703-992-6688",
            "fax_number": "703-942-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTRADA ADULT DAY HEALTHCARE CENTER,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "DONG CHUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-498-0050"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joy Adult Day Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.