Active NPI
Home Link Care, LLC
- Home Health Agency
- Vienna, VA
National Provider Identifier
1063749554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.