Lydia Harris, HOMECARE PROVIDER

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO-212420 Issued in VA

Practice address

5901 Kingstowne Village Pkwy Ste 201
Alexandria, VA 22315-5882

Phone

(703) 718-3551

Fax

(703) 417-9931

NPI assigned

Nov 4, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Base Home Healthcare, LLC

  • Home Health Agency
  • Alexandria, VA
  • NPI 1962037838
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1003523382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 KINGSTOWNE VILLAGE PKWY STE 201",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155882",
            "telephone_number": "703-718-3551",
            "fax_number": "703-417-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 KINGSTOWNE VILLAGE PKWY STE 201",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155882",
            "telephone_number": "703-718-3551",
            "fax_number": "703-417-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LYDIA",
        "credential": "HOMECARE PROVIDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-212420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962037838",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "centralhhc2@gmail.com",
            "affiliation": "N",
            "endpointDescription": "centralhhc2@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5901 Kingstowne Village Pkwy Ste 201",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223155882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amber Jeanette Harris
• Brittany Elayne Harris
• Cameron Harris
• Candace Harris
• Clifton Lee Harris, DDS
• Mary Jane Harris, PT
• Megan Harris, CCC-SLP
• Robert Harris, PT, DPT
• Shannon Loren Harris, PTA
• Sofia Harris

• Home Health Agency in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.