Healthcare Provider Details

I. General information

NPI: 1306500038
Provider Name (Legal Business Name): JOSEPHINE ALPHA CEO/OWNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JOSEPHINE ALPHA DBHDS, VDH

II. Dates (important events)

Enumeration Date: 10/28/2021
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13190 CENTERPOINTE WAY STE 201
WOODBRIDGE VA
22193-5286
US

IV. Provider business mailing address

13190 CENTERPOINTE WAY STE 201
WOODBRIDGE VA
22193-5286
US

V. Phone/Fax

Practice location:
  • Phone: 571-774-2345
  • Fax: 703-490-1211
Mailing address:
  • Phone: 571-774-2345
  • Fax: 571-552-3147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHCO-233038
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberHCO-0003038
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHCO-0003038
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberHCO-0003038
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number6170
License Number StateVA
# 6
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberHCO-0003038
License Number StateVA
# 7
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHCO-0003038
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: