Provider Demographics
NPI:1750554283
Name:AMERICARE MEDICAL SERVICES, INC
Entity type:Organization
Organization Name:AMERICARE MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AUGUSTINE
Authorized Official - Middle Name:BOAKYE
Authorized Official - Last Name:DANQUAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-360-1954
Mailing Address - Street 1:8605B ENGLESIDE OFFICE PARK
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-4130
Mailing Address - Country:US
Mailing Address - Phone:703-360-1954
Mailing Address - Fax:703-360-1959
Practice Address - Street 1:8605B ENGLESIDE OFFICE PARK
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-4130
Practice Address - Country:US
Practice Address - Phone:703-360-1954
Practice Address - Fax:703-360-1959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-08485251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAHCO-08485OtherSTATE LICENSE