Individual provider Active NPI

Homa A Puga, B.B.A

  • Home Health Aide
  • Burke, VA
National Provider Identifier
1063677730
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
80167276 Issued in VA
Practice address
9306 Old Keene Mill Rd Ste a
Burke, VA 22015-4280
Phone
(703) 440-1131
Fax
(703) 440-1132
NPI assigned
Jul 22, 2008
Last updated
Dec 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 80167276 VA Primary

Addresses

Primary practice location

9306 Old Keene Mill Rd Ste a
Burke, VA 22015-4280

Mailing address

9306 Old Keene Mill Rd Ste a
Burke, VA 22015-4280
Phone (703) 440-1131

Other identifiers 1

IdentifierTypeStateIssuer
0154520990MedicaidVA

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
Credentials
Bachelor of Business Administration

State licenses

LicenseStateTypeSpecialty
80167276VAMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Best Health Care Services, LLC CurrentSince Dec 16, 2020 Accepting new patients

Locations

9306 Old Keene Mill Rd
Ste A
Burke, VA 22015
Phone (703) 440-1131

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": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1063677730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9306 OLD KEENE MILL RD STE A",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154280",
            "telephone_number": "703-440-1131",
            "fax_number": "703-440-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9306 OLD KEENE MILL RD STE A",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154280",
            "telephone_number": "703-440-1131",
            "fax_number": "703-440-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGA",
        "first_name": "HOMA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "B.B.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "VA",
            "license": "80167276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0154520990",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.