Organization Active NPI

Dedicated Care Health Services, Inc.

  • Home Health Agency
  • Woodbridge, VA
National Provider Identifier
1982142378
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO-171568 Issued in VA
Legal business name
DEDICATED CARE HEALTH SERVICES, INC.
Practice address
5571 Saint Charles Dr
Woodbridge, VA 22193-3537
Phone
(703) 745-7785
Fax
(571) 659-2453
NPI assigned
Feb 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Mr. Thomas Amibang Tanue
Title
Ceo
Phone
(301) 257-3504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO-171568 VA Primary

Addresses

Primary practice location

5571 Saint Charles Dr
Woodbridge, VA 22193-3537

Mailing address

5680 King Centre Dr
Suite 600
Alexandria, VA 22315-5757
Phone (703) 745-7785

National Provider Directory

National Provider Directory
Tax ID family
Dedicated Care Health Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1982142378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 KING CENTRE DR",
            "address_2": "SUITE 600",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155757",
            "telephone_number": "703-745-7785",
            "fax_number": "571-659-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5571 SAINT CHARLES DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933537",
            "telephone_number": "703-745-7785",
            "fax_number": "571-659-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED CARE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "TANUE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "AMIBANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-257-3504",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-171568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.