Active NPI
Mena Home Healthcare Services, LLC
- Home Health Agency
- Fairfax, VA
National Provider Identifier
1043187495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MENA HOME HEALTHCARE SERVICES, LLC
- Practice address
- 12953 Ridgemist LN
Fairfax, VA 22033-2118 - Phone
- (571) 278-5170
- NPI assigned
- Oct 21, 2025
- Last updated
- Nov 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hodan Hassan
- Title
- Owner
- Phone
- (703) 655-8720
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary | |
| Personal Care Attendant | 3747P1801X | NU | ||
| Home Health Aide | 374U00000X | NU | ||
| Respite Care | 385H00000X | NU |
Addresses
Primary practice location
12953 Ridgemist LN
Fairfax, VA 22033-2118
Mailing address
12953 Ridgemist LN
Fairfax, VA 22033-2118
Phone (571) 278-5170
National Provider Directory
National Provider DirectoryPractitioners & 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": "1761004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763596800000",
"number": "1043187495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12953 RIDGEMIST LN",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332118",
"telephone_number": "571-278-5170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12953 RIDGEMIST LN",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332118",
"telephone_number": "571-278-5170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENA HOME HEALTHCARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-21",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A",
"authorized_official_last_name": "HASSAN",
"authorized_official_first_name": "HODAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-655-8720"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.