NPIMap

Organization Active NPI

Medtechcaresystems LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Falls Church, VA
National Provider Identifier
1700261302
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
MEDTECHCARESYSTEMS LLC
Practice address
3200 Holly Berry CT
Falls Church, VA 22042-3315
Phone
(703) 846-0312
NPI assigned
Jul 23, 2015
Last updated
Jul 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Benjamin Dick Ndikum
Title
Ceo
Phone
(240) 603-8579

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 320600000 VA
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X VA Primary

Addresses

Primary practice location

3200 Holly Berry CT
Falls Church, VA 22042-3315

Mailing address

3200 Holly Berry CT
Falls Church, VA 22042-3315
Phone (703) 846-0312

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1700261302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 HOLLY BERRY CT",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423315",
            "telephone_number": "703-846-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 HOLLY BERRY CT",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423315",
            "telephone_number": "703-846-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTECHCARESYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "NDIKUM",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "DICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-603-8579"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "320600000",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.