MEDICARE: ATTENTIVE INTEGRATED HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1811887201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATTENTIVE INTEGRATED HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	2121 EISENHOWER AVE STE 302
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-4688
Country	:	US
Telephone Number	:	571-551-6034
Fax Number	:	703-214-2562

Provider Business Practice Location Address
First Line	:	2121 EISENHOWER AVE STE 302
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-4688
Country	:	US
Telephone Number	:	571-551-6034
Fax Number	:	703-214-2562

Authorized Official
Title or Position	:	PROGRAM MANAGER
Name	:	MR. EFUETNGU AMINKENG
Credential	:
Telephone Number	:	703-400-7815

Provider Enumeration Date	:	07/07/2025
Last Update Date	:	02/19/2026

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