DEDICATED CARE HEALTH SERVICES, INC. (NPI# 1982142378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982142378 |
| Entity Type | Organization |
| Organization Name | DEDICATED CARE HEALTH SERVICES, INC. |
| Practice Address |
5571 Saint Charles Dr Woodbridge VA 22193-3537 |
| Mailing Address |
5680 King Centre Dr Suite 600 Alexandria VA 22315-5757 |
| Practice Telephone | 7037457785 |
| Practice Fax Number | 5716592453 |
| Mailing Telephone | 7037457785 |
| Mailing Fax Number | 5716592453 |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |
| Authorized Official Name | MR. THOMAS AMIBANG TANUE (CEO) |
| Authorized Official Telephone | 3012573504 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HCO-171568 | VA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407334816 | Dedicated Care Health Services, Inc. | Community/Behavioral Health | 7600 Georgia Ave Nw Ste 205, Washington, DC 20012-1616 | 2018-07-30 |
| 1437768959 | Dedicated Care Health Services, Inc. | Clinic/Center | 1160 Varnum St Ne Ste 216, Washington, DC 20017-2106 | 2020-07-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEDICATED CARE HEALTH SERVICES, INC. | 1160 Varnum St Ne Ste 216, Washington, DC 20017-2106 |
| Street Address |
5571 SAINT CHARLES DR |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22193-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316397565 | Dedicated Care Health Services Inc | Day Training, Developmentally Disabled Services | 5571 Saint Charles Dr, Woodbridge, VA 22193-3537 | 2016-06-20 |
| 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.