Provider Demographics
NPI:1811887201
Name:ATTENTIVE INTEGRATED HEALTHCARE LLC
Entity type:Organization
Organization Name:ATTENTIVE INTEGRATED HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EFUETNGU
Authorized Official - Middle Name:
Authorized Official - Last Name:AMINKENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-892-0887
Mailing Address - Street 1:2121 EISENHOWER AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4688
Mailing Address - Country:US
Mailing Address - Phone:301-332-1584
Mailing Address - Fax:
Practice Address - Street 1:2121 EISENHOWER AVE STE 302
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-4688
Practice Address - Country:US
Practice Address - Phone:301-332-1584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATTENTIVE INTEGRATED HEALTHCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities