NPIMap

Organization Active NPI

Home Health Connection, Inc.

  • Nurse's Aide
  • Reston, VA
National Provider Identifier
1053448480
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Legal business name
HOME HEALTH CONNECTION, INC.
Practice address
12007 Sunrise Valley Dr
Suite 103
Reston, VA 20191
Phone
(703) 684-3799
Fax
(703) 860-2519
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Shahin D Mafi, MBA
Title
Chief Executive Officer
Phone
(301) 718-0112

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Skilled Nursing Facility 314000000X HCO-07112 VA
Nurse's AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 376K00000X Primary

Addresses

Primary practice location

12007 Sunrise Valley Dr
Suite 103
Reston, VA 20191

Mailing address

PO Box 31105
Bethesda, MD 20824-1105
Phone (703) 684-3799

Other identifiers 1

IdentifierTypeStateIssuer
008703779MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Home Health Connection Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

12007 Sunrise Valley Dr
Ste 103
Reston, VA 20191
Phone (703) 684-3799

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1053448480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31105",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208241105",
            "telephone_number": "703-684-3799",
            "fax_number": "703-860-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12007 SUNRISE VALLEY DR",
            "address_2": "SUITE 103",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "20191",
            "telephone_number": "703-684-3799",
            "fax_number": "703-860-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH CONNECTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "MAFI",
        "authorized_official_first_name": "SHAHIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "301-718-0112",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "HCO-07112",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008703779",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.