Active NPI
Ma. Rose Jeminez Decena
- Home Health Registered Nurse
- Herndon, VA
National Provider Identifier
1043828791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 0000000
- Practice address
- 13800 Coppermine Rd # 124-a
Herndon, VA 20171-6163 - Phone
- (571) 508-7144
- NPI assigned
- Jul 20, 2020
- Last updated
- Jul 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 0000000 | VA | Primary |
Addresses
Primary practice location
13800 Coppermine Rd # 124-a
Herndon, VA 20171-6163
Mailing address
13800 Coppermine Rd # 124-a
Herndon, VA 20171-6163
Phone (571) 508-7144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000 | VA | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decena Home Care, LLC | Current | Accepting new patients |
Locations
13800 Coppermine Rd
#124A
Herndon, VA 20171
Phone (571) 508-7144
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1043828791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13800 COPPERMINE RD # 124-A",
"city": "HERNDON",
"state": "VA",
"postal_code": "201716163",
"telephone_number": "571-508-7144",
"fax_number": "703-935-0898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13800 COPPERMINE RD # 124-A",
"city": "HERNDON",
"state": "VA",
"postal_code": "201716163",
"telephone_number": "571-508-7144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECENA",
"first_name": "MA. ROSE",
"middle_name": "JEMINEZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-20",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "VA",
"license": "0000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herndon, VA
- Emily Rose Davis, LMT
- Julie Canniffe Davis, LCAS, CSAC, CADC II
- Louise Eileen Davis, M.AC, DIPL.AC., L.AC
- Desiree Debutts Farren, CADC, ICADC
- Decena Home Care, LLC (Decena Home Care)
- Pepito Jimenez Decena Jr., LPN
- Bradley Jay Deck
- Heather Anne Deckelbaum, M.S., CCC
- Justina Megan Dee, D.C.
- Adele S Denny, MSW, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.