TDS HEALTH HOME CARE LLC (NPI# 1942821145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942821145 |
| Entity Type | Organization |
| Organization Name | TDS HEALTH HOME CARE LLC |
| Other Organization Name | TDS HEALTH HOME CARE LLC |
| Practice Address |
4215 Dale Blvd Woodbridge VA 22193-2243 |
| Practice Telephone | 7033988525 |
| Practice Fax Number | 5716599028 |
| Mailing Telephone | 7033988525 |
| Mailing Fax Number | 5716599028 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-05-07 |
| Authorized Official Name | DR. STELLA N KINTU (CEO) |
| Authorized Official Telephone | 7033988525 |
| Authorized Official Credential | PHARMD, RPH, BCM |
| Is Organization Subpart | Y |
| Parent Organization Name | TDS HEALTH INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1467975565 | 05 |
| Other Name | Type Code |
|---|---|
| TDS Health Home Care LLc | Other Name - Individual/Organization |
| Street Address |
4215 DALE BLVD |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22193-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710353248 | Stella N Kintu | Pharmacist | 4215 Dale Blvd, Tds Health, Woodbridge, VA 22193-2243 | 2015-08-19 |
| 1467975565 | Tds Health | Pharmacy | 4215 Dale Blvd, Woodbridge, VA 22193-2243 | 2017-07-20 |
| 1952853061 | Well-care Corp | Nurse Practitioner | 4215 Dale Blvd, Woodbridge, VA 22193-2243 | 2016-10-25 |
| 1720538754 | All In All Home Care, LLC | Home Health | 4215 Dale Blvd, Woodbridge, VA 22193-2243 | 2016-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083111702 | Bethiana Magallanes White | Speech-Language Pathologist | 14450 Brook Dr, Woodbridge, VA 22193 | 2018-04-09 |
| 1982111449 | Frances Davis | Social Worker | 4196 Merchant Plaza Apt 632, Woodbridge, VA 22193 | 2018-01-05 |
| 1427421627 | Woodbridge Therapy Group LLC | Counselor | 12721 Darby Brooke Ct., Suite 102, Woodbridge, VA 22193 | 2015-11-10 |
| 1972981090 | Lifeline Home Health Inc | Community/Behavioral Health | 4309 Kenwood Dr, Woodbridge, VA 22193 | 2015-05-08 |
| 1588056139 | Lifelong Good Health LLC | Clinic/Center | 5721 Rhode Isalnd Drive, Woodbridge, VA 22193 | 2015-02-19 |
| 1639560378 | Tara Devi Smith | Psychologist | 13855 Hedgewood Drive, #245, Woodbridge, VA 22193 | 2015-02-17 |
| 1710396114 | Allanna Harrison | Speech-Language Pathologist | 15792 Beau Ridge Dr., Woodbridge, VA 22193 | 2014-08-11 |
| 1659788909 | Lifelong Good Health | Clinic/Center | 5721 Rhode Island Dr, Woodbridge, VA 22193 | 2014-07-18 |
| 1952731960 | Corrieann Marie Avila | Social Worker | 12721 Darby Brooke Court, Suite 102, Woodbridge, VA 22193 | 2013-11-13 |
| 1972881019 | Ockhee Jung | Acupuncturist | 14174 Rizdon Ct, Woodbridge, VA 22193 | 2011-07-22 |
| Find all providers in zip 22193 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708278 | Caretrust Home Health | Home Health | 13408 Classic Ct, Woodbridge, VA 22192-4502 | 2020-10-19 |
| 1568079663 | Abel Home Health Care LLC | Home Health | 17016 Gatlin Ct, Woodbridge, VA 22191-4446 | 2020-09-23 |
| 1598370306 | Pelullo Health Services, Inc. | Home Health | 4893 Prince William Pkwy Ste 202, Woodbridge, VA 22192-5404 | 2020-09-09 |
| 1023627452 | Elyon Home Healthcare, LLC. | Home Health | 15337 Barnabas Trl, Woodbridge, VA 22193-5566 | 2020-07-31 |
| 1235752056 | Camellia Home Care Agency LLC | Home Health | 15300 Auburn Hills Dr, Woodbridge, VA 22193-5761 | 2020-05-27 |
| 1639702343 | Infinite Personal Care LLC | Home Health | 1750 Lakewood Dr, Woodbridge, VA 22192-2817 | 2020-02-20 |
| 1609417922 | American Home Healthcare Services | Home Health | 13000 Harbor Center Dr Ste 364, Woodbridge, VA 22192-2846 | 2019-10-08 |
| 1669022158 | Ultimate Senior Care | Home Health | 12801 Darby Brook Ct Ste 201, Woodbridge, VA 22192-2497 | 2019-09-16 |
| 1396305314 | 1st Premier Home Care LLC | Home Health | 13198 Centerpointe Way Ste 102, Woodbridge, VA 22193-5285 | 2019-06-20 |
| 1235794850 | Peaceful Health and Residential Service | Home Health | 5088 Two Chimneys Ct, Woodbridge, VA 22193-3264 | 2019-05-08 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22193 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.