# DAMBRIDGE HEALTH CARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DAMBRIDGE HOME CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851531974
- **Authorized official:** NANA BOATENG (PRESIDENT)
- **Authorized official phone:** (877) 287-3079

## Contact information

- **Practice address:** 2650 JEFFERSON DAVIS HWY UNIT 522, STAFFORD, VA 22555-3622
- **Practice address phone:** (866) 848-5449
- **Practice address fax:** (877) 904-3069
- **Mailing address:** 2650 JEFFERSON DAVIS HWY UNIT 522, STAFFORD, VA 22555-3622
- **Mailing address phone:** (540) 300-1160
- **Mailing address fax:** (877) 904-3069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 03/02/2009
- **Last updated:** 05/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | HCA.0001211 | CT. DEPT OF CONSUMER PROTECTION | CT |