TDS Health Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TDS HEALTH HOME CARE LLC

Practice address

4215 Dale Blvd
Woodbridge, VA 22193-2243

Phone

(703) 398-8525

Fax

(571) 659-9028

NPI assigned

Apr 29, 2020

Organization subpart

Yes

Parent organization

TDS HEALTH INC.As reported in NPPES

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

Authorized official

Name

Dr. Stella N Kintu, PHARMD, RPH, BCMCMSNPI 1710353248

Title

Ceo

Phone

(703) 398-8525

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• TDS Health Home Care LLc Other name

Part of

TDS Health

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• TDS Health

  • Community/Retail Pharmacy
  • Woodbridge, VA
  • NPI 1467975565
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stella N Kintu, PHARM.D

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Woodbridge, VA
  • NPI 1710353248
  NPD Authorized official

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1942821145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 DALE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932243",
            "telephone_number": "703-398-8525",
            "fax_number": "571-659-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 DALE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932243",
            "telephone_number": "703-398-8525",
            "fax_number": "571-659-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDS HEALTH HOME CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TDS HEALTH INC.",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "KINTU",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-398-8525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD, RPH, BCMCMS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467975565",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TDS Health Home Care LLc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "TDS Health Home Care LLc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Home Health Agency in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.