Organization Active NPI

Home Link Care, LLC

  • Home Health Agency
  • Vienna, VA
National Provider Identifier
1063749554
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME LINK CARE, LLC
Practice address
2110 Gallows Rd Ste C1
Vienna, VA 22182-3962
Phone
(703) 349-2113
Fax
(703) 995-0621
NPI assigned
Nov 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Mr. Nikita Fedorov
Title
Administrator
Phone
(703) 349-2113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2110 Gallows Rd Ste C1
Vienna, VA 22182-3962

Mailing address

2110 Gallows Rd Ste C1
Vienna, VA 22182-3962
Phone (703) 349-2113

National Provider Directory

National Provider Directory

Locations

2110 Gallows Rd
Ste C1
Vienna, VA 22182
Phone (703) 349-2113

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1063749554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 GALLOWS RD STE C1",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823962",
            "telephone_number": "703-349-2113",
            "fax_number": "703-995-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 GALLOWS RD STE C1",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823962",
            "telephone_number": "703-349-2113",
            "fax_number": "703-995-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME LINK CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "FEDOROV",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-349-2113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.