OrganizationActive
Vidacare LLC
NPI 1003521378 · Health Maintenance Organization · Washington, DC
Provider details
- NPI number
- 1003521378
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Lyman Maddox, Ceo(202) 412-3725
Specialties & taxonomies
Managed Care Organizations
- In Home Supportive Care Agency253Z00000X
Agencies
Practice location
1629 K Street Nw
Ste 300
Washington, DC 20006
Phone: (202) 403-2284
Approximate (ZIP-level) locationGet directions
Mailing address
1629 K Street Nw
Washington, DC 20006-1631
Other names (DBA / former)
- Doing business as
- Vidacare LLC
Registry dates
- Enumerated
- 2023-01-20
- Last updated
- 2023-01-20
- Certified
- 2023-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.