NPIMap

Organization Active NPI

Benedictus Care

  • Respite Care
  • Burke, VA
National Provider Identifier
1851315295
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
BENEDICTUS CARE
Practice address
5408 Tripolis CT
Burke, VA 22015-1968
Phone
(703) 978-0453
NPI assigned
Jul 27, 2006
Last updated
Jul 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Authorized official

Name
Mr. Michael David Moran, J.D.
Title
Ceo
Phone
(703) 978-0453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

5408 Tripolis CT
Burke, VA 22015-1968

Mailing address

5408 Tripolis CT
Burke, VA 22015-1968
Phone (703) 978-0453

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1851315295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 TRIPOLIS CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151968",
            "telephone_number": "703-978-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5408 TRIPOLIS CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151968",
            "telephone_number": "703-978-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEDICTUS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-978-0453",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.