Avid Care Services, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

AVID CARE SERVICES, INC

Doing business as

Avid Care Services, Inc

Practice address

15110 Kentshire Dr
Woodbridge, VA 22191-4053

Phone

(703) 343-5593

Fax

(801) 346-1761

NPI assigned

Apr 2, 2019

Last updated

Apr 2, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rita Ayorkor Adjetey

Title

Pres/Ceo

Phone

(703) 343-5593

Specialties & licenses 1

Addresses

Other names 1

• AVID CARE SERVICES, INC Doing business as

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1891257416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15110 KENTSHIRE DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914053",
            "telephone_number": "703-343-5593",
            "fax_number": "801-346-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15110 KENTSHIRE DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914053",
            "telephone_number": "703-343-5593",
            "fax_number": "801-346-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVID CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "ADJETEY",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "AYORKOR",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "703-343-5593"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVID CARE SERVICES, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.