Treasure Health Inc

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

TREASURE HEALTH INC

Practice address

6000 Stevenson Ave Ste F
Alexandria, VA 22304-3563

Phone

(703) 461-4738

Fax

(703) 461-3552

NPI assigned

Jul 17, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Richard C Ngundam

Title

President

Phone

(703) 623-0782

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Treasure Health Inc Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1770191660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 STEVENSON AVE STE F",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043563",
            "telephone_number": "703-461-4738",
            "fax_number": "703-461-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 STEVENSON AVE STE F",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043563",
            "telephone_number": "703-461-4738",
            "fax_number": "703-461-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "NGUNDAM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-623-0782",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCC",
            "identifier": "11079713",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "McAfee",
            "affiliation": "N",
            "endpointDescription": "usability and security",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6000 Stevenson Ave Ste F",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223043563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Treasure Health Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Treasure Health Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Developmental Disabilities Clinic/Center in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Developmental Disabilities Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.