Fairfax Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FAIRFAX HOME HEALTH CARE, LLC

Practice address

171 Elden St Ste 3A1
Herndon, VA 20170-4976

Phone

(571) 315-7333

Fax

(855) 255-0578

NPI assigned

Jul 19, 2012

Last updated

Nov 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roxana Reyes

Title

Administrator

Phone

(703) 546-8555

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1063767523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 ELDEN ST STE 3A1",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704976",
            "telephone_number": "571-315-7333",
            "fax_number": "855-255-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ELDEN ST STE 3A1",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704976",
            "telephone_number": "571-315-7333",
            "fax_number": "855-255-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "ROXANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-546-8555"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph E Dunlap Facen
• Nicole Leonie Fainsan, MSPT
• Fairfax Family Practice (Afc Urgent Care and Family Care)
• Fairfax Family Practice Centers PC
• Fairfax Family Practice Centers PC (Herndon Family Medicine)
• Fairfax Radiological Consultants PC
• Fairfax Radiological Consultants PC
• Fairfax Urgent Care Group
• Family Immediate Care,LLC
• Family Wellness Center Inc

• Home Health Agency in Herndon, VA
• Providers in Herndon, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.