Active NPI
Dominion Community Integration Services Inc.
- Developmentally Disabled Services Day Training Agency
- Woodbridge, VA
National Provider Identifier
1710731005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- DOMINION COMMUNITY INTEGRATION SERVICES INC.
- Practice address
- 4349 Ridgewood Center Dr Ste 101
Woodbridge, VA 22192-8330 - Phone
- (703) 953-9317
- NPI assigned
- Apr 15, 2024
- 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
- Sheku Brima Stewart Lahai, RN
- Title
- Service Director
- Phone
- (703) 953-9317
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
4349 Ridgewood Center Dr Ste 101
Woodbridge, VA 22192-8330
Mailing address
4349 Ridgewood Center Dr Ste 101
Woodbridge, VA 22192-8330
Phone (703) 953-9317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9013 | Other | VA | DBHDS CENTER-BASED DAY SUPPORT ADULT |
Other names 1
- DCIS Inc.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713139200000",
"number": "1710731005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4349 RIDGEWOOD CENTER DR STE 101",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221928330",
"telephone_number": "703-953-9317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4349 RIDGEWOOD CENTER DR STE 101",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221928330",
"telephone_number": "703-953-9317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOMINION COMMUNITY INTEGRATION SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-15",
"last_updated": "2024-04-15",
"certification_date": "2024-04-14",
"status": "A",
"authorized_official_last_name": "LAHAI",
"authorized_official_first_name": "SHEKU",
"authorized_official_middle_name": "BRIMA STEWART",
"authorized_official_title_or_position": "SERVICE DIRECTOR",
"authorized_official_telephone_number": "703-953-9317",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DBHDS CENTER-BASED DAY SUPPORT ADULT",
"identifier": "9013",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DCIS Inc.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.