Organization Active NPI

Medcare Home Care Services, LLC

  • Home Health Agency
  • Fairfax, VA
National Provider Identifier
1043674674
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEDCARE HOME CARE SERVICES, LLC
Practice address
12567 Summit Manor Dr
313
Fairfax, VA 22033-5718
Phone
(202) 270-8256
NPI assigned
Apr 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Tamara Shillingford
Title
C.E.O
Phone
(202) 270-8256

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

12567 Summit Manor Dr
313
Fairfax, VA 22033-5718

Mailing address

12567 Summit Manor Dr
313
Fairfax, VA 22033-5718

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1460246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1043674674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12567 SUMMIT MANOR DR",
            "address_2": "313",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220335718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12567 SUMMIT MANOR DR",
            "address_2": "313",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220335718",
            "telephone_number": "202-270-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-10",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "SHILLINGFORD",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "202-270-8256"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "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 Apr 29, 2016; 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.