Organization Active NPI

Dambridge Health Care, Inc

Doing business as Dambridge Home Care

  • Home Health Agency
  • Stafford, VA
National Provider Identifier
1851531974
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DAMBRIDGE HEALTH CARE, INC
Doing business as
Dambridge Home Care
Practice address
2650 Jefferson Davis Hwy Unit 522
Stafford, VA 22555-3622
Phone
(866) 848-5449
Fax
(877) 904-3069
NPI assigned
Mar 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Authorized official

Name
Nana Boateng
Title
President
Phone
(877) 287-3079

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X Primary
Community Based Hospice Care Agency 251G00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

2650 Jefferson Davis Hwy Unit 522
Stafford, VA 22555-3622

Mailing address

2650 Jefferson Davis Hwy Unit 522
Stafford, VA 22555-3622
Phone (540) 300-1160

Other identifiers 1

IdentifierTypeStateIssuer
HCA.0001211OtherCTCT. DEPT OF CONSUMER PROTECTION

Other names 1

  • DAMBRIDGE HOME CARE Doing business as

National Provider Directory

National Provider Directory

Locations

2650 Jefferson Davis Hwy
Unit 522
Stafford, VA 22555
Phone (866) 848-5449

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1851531974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 JEFFERSON DAVIS HWY UNIT 522",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225553622",
            "telephone_number": "540-300-1160",
            "fax_number": "877-904-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 JEFFERSON DAVIS HWY UNIT 522",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225553622",
            "telephone_number": "866-848-5449",
            "fax_number": "877-904-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMBRIDGE HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "BOATENG",
        "authorized_official_first_name": "NANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-287-3079"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT. DEPT OF CONSUMER PROTECTION",
            "identifier": "HCA.0001211",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAMBRIDGE HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DAMBRIDGE HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.