Organization Active NPI

Dominion Community Integration Services Inc.

  • Developmentally Disabled Services Day Training Agency
  • Woodbridge, VA
National Provider Identifier
1710731005
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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

Updated by the provider on Apr 15, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9013OtherVADBHDS CENTER-BASED DAY SUPPORT ADULT

Other names 1

  • DCIS Inc. Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.