Organization Active NPI

Injury Care Services, Inc

  • Case Management Agency
  • Sterling, VA
National Provider Identifier
1790922052
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
INJURY CARE SERVICES, INC
Practice address
22636 Davis Dr
Suite 200
Sterling, VA 20164-4484
Phone
(703) 478-7240
Fax
(703) 788-1466
NPI assigned
Jan 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Authorized official

Name
Shane McKiniley
Title
Vicepresident
Phone
(703) 478-7240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

22636 Davis Dr
Suite 200
Sterling, VA 20164-4484

Mailing address

22636 Davis Dr
Suite 200
Sterling, VA 20164-4484
Phone (703) 478-7240

National Provider Directory

National Provider Directory

Locations

22636 Davis Dr
Ste 200
Sterling, VA 20164
Phone (703) 478-7240

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1790922052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22636 DAVIS DR",
            "address_2": "SUITE 200",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201644484",
            "telephone_number": "703-478-7240",
            "fax_number": "703-788-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22636 DAVIS DR",
            "address_2": "SUITE 200",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201644484",
            "telephone_number": "703-478-7240",
            "fax_number": "703-788-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "MCKINILEY",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "VICEPRESIDENT",
        "authorized_official_telephone_number": "703-478-7240"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.