Healthcare Provider Details

I. General information

NPI: 1811887201
Provider Name (Legal Business Name): ATTENTIVE INTEGRATED HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 EISENHOWER AVE STE 302
ALEXANDRIA VA
22314-4688
US

IV. Provider business mailing address

2121 EISENHOWER AVE STE 302
ALEXANDRIA VA
22314-4688
US

V. Phone/Fax

Practice location:
  • Phone: 571-551-6034
  • Fax: 703-214-2562
Mailing address:
  • Phone: 571-551-6034
  • Fax: 703-214-2562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. EFUETNGU AMINKENG
Title or Position: PROGRAM MANAGER
Credential:
Phone: 703-400-7815