Healthcare Provider Details

I. General information

NPI: 1568584712
Provider Name (Legal Business Name): APS HEALTHCARE BETHESDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 N VINEYARD BLVD BLDG A
HONOLULU HI
96817-3590
US

IV. Provider business mailing address

8403 COLESVILLE RD SUITE 1600
SILVER SPRING MD
20910-6331
US

V. Phone/Fax

Practice location:
  • Phone: 808-952-4427
  • Fax:
Mailing address:
  • Phone: 800-305-3720
  • Fax: 301-563-7338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. LAURA TARANTINO
Title or Position: GENERAL COUNSEL
Credential: JD
Phone: 800-305-3720