Provider Demographics
NPI:1396188090
Name:DM CARE, INC
Entity Type:Organization
Organization Name:DM CARE, INC
Other - Org Name:WASHINGTON SENIOR HEALTHCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MI KYUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-354-4590
Mailing Address - Street 1:5300 SHAWNEE RD
Mailing Address - Street 2:SUITE #101
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-2311
Mailing Address - Country:US
Mailing Address - Phone:703-354-4590
Mailing Address - Fax:703-354-4580
Practice Address - Street 1:5300 SHAWNEE RD
Practice Address - Street 2:SUITE #101
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-2311
Practice Address - Country:US
Practice Address - Phone:703-354-4590
Practice Address - Fax:703-354-4580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-11
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1103710261QA0600X
343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)