The Providencia Group

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

THE PROVIDENCIA GROUP

Practice address

19775 Belmont Executive PLZ Ste 450
Ashburn, VA 20147-7606

Phone

(571) 431-1458

NPI assigned

Mar 14, 2024

Organization subpart

No

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

Authorized official

Name

Kevin Marquez

Title

Ceo

Phone

(571) 223-4629

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1972362796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7773 WAIKAPU LOOP",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968253026",
            "telephone_number": "808-282-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19775 BELMONT EXECUTIVE PLZ STE 450",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477606",
            "telephone_number": "571-431-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PROVIDENCIA GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "571-223-4629"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Thai, NP
• Vikitaben Thakker
• Samantha Julianna Than-Melgar
• Madan Thapa
• The Blue Center LLC
• The Psychotherapy and Behavioral Health Network
• The Resilience Network LLC
• Therapy Central Inc
• Ariyana Thomas
• Di'Yanna Thompson

• Case Manager/Care Coordinator in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Case Manager/Care Coordinator in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.