OrganizationActive
Vantage Healthcare Services, LLC
NPI 1467279752 · Developmental Disabilities Clinic/Center · Washington, DC
Provider details
- NPI number
- 1467279752
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Khalifa Sushy, Ceo(202) 766-8182
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2811 Pennsylvania Ave Se Ste B
Washington, DC 20020-3865
Phone: (202) 766-8182
Street-level locationGet directions
Mailing address
13508 Steeplechase Dr
Bowie, MD 20715-4548
Registry dates
- Enumerated
- 2024-09-26
- Last updated
- 2024-09-26
- Certified
- 2024-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.