Healthcare Provider Details

I. General information

NPI: 1124733480
Provider Name (Legal Business Name): CONTINUUM HEALTH AIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2023
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4115 PLEASANT VALLEY RD # 200A
CHANTILLY VA
20151-1220
US

IV. Provider business mailing address

PO BOX 661308
DALLAS TX
75266-1308
US

V. Phone/Fax

Practice location:
  • Phone: 800-665-2850
  • Fax: 833-271-9979
Mailing address:
  • Phone: 800-665-2850
  • Fax: 833-271-9979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRIS VAN RAAM
Title or Position: COO
Credential:
Phone: 205-703-6760