Vida Adusei-Poku

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

HCO-151153 Issued in VA

Practice address

3330 Bourbon St Ste 108
Fredericksburg, VA 22408-7333

Phone

(703) 987-5052

NPI assigned

Oct 15, 2015

Last updated

Oct 15, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• El & Divine Home Health Care LLC

  • Home Health Agency
  • Fredericksburg, VA
  • NPI 1821487950
  NPD (past) Authorized official

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1982075974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 BOURBON ST STE 108",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087333",
            "telephone_number": "703-987-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 BOURBON ST STE 108",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087333",
            "telephone_number": "703-987-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADUSEI-POKU",
        "first_name": "VIDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "HCO-151153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821487950",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sagun Adhikari, MD
• Ophelia Adipa, MD
• Mina A Adnan, DDS
• Adom Group Homes LLC
• Veronica Adomaa
• Advance Home Health Services LLC (Advance Home Health Services)
• Advanced Care for Women, LLC
• Advanced Dental Care of Fredericksburg
• Advanced Life Support Corp.
• Advanced Pain and Orthopedic Physical Therapy

• Non-emergency Medical Transport (VAN) in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.