NPIMap

Organization Active NPI

Excelhomehealthcare LLC

  • Home Health Agency
  • Chantilly, VA
National Provider Identifier
1033753579
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EXCELHOMEHEALTHCARE LLC
Practice address
43555 White Cap Ter
Chantilly, VA 20152-5824
Phone
(703) 887-1702
NPI assigned
Oct 28, 2019
Last updated
Oct 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
Ms. Hibo Haji JamaNPI 1821643230
Title
Owner
Phone
(703) 887-1702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

43555 White Cap Ter
Chantilly, VA 20152-5824

Mailing address

43555 White Cap Ter
Chantilly, VA 20152-5824
Phone (703) 887-1702

Other practice location 1

43555 White Cap Ter
Chantilly, VA 20152-5824
Phone (703) 887-1702

Other identifiers 1

IdentifierTypeStateIssuer
HCO202073MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Excelhomehealthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1033753579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43555 WHITE CAP TER",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201525824",
            "telephone_number": "703-887-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43555 WHITE CAP TER",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201525824",
            "telephone_number": "703-887-1702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43555 White Cap Ter",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201525824",
            "country_code": "US",
            "telephone_number": "703-887-1702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXCELHOMEHEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "HAJI JAMA",
        "authorized_official_first_name": "HIBO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-887-1702",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HCO202073",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.