MEDICARE: INTELACARE PBC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	261QR1300X	Rural Health Clinic/Center
3	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1346861655
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTELACARE PBC

Provider Business Mailing Address
First Line	:	1050 N STUART ST APT 618
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-5749
Country	:	US
Telephone Number	:	703-957-0110
Fax Number	:

Provider Business Practice Location Address
First Line	:	1050 N STUART ST APT 618
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-5749
Country	:	US
Telephone Number	:	703-957-0110
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ARTHUR R. HENDERSON
Credential	:
Telephone Number	:	703-957-0110

Provider Enumeration Date	:	04/28/2020
Last Update Date	:	04/02/2026

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