Organization Active NPI

Stalwart Home Health LLC

  • Home Health Agency
  • Woodbridge, VA
National Provider Identifier
1073197604
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STALWART HOME HEALTH LLC
Practice address
13000 Harbor Center Dr # 312M
Woodbridge, VA 22192-2846
Phone
(571) 466-8794
NPI assigned
May 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Matilda CheNPI 1205184538
Title
Owner
Phone
(301) 346-3640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13000 Harbor Center Dr # 312M
Woodbridge, VA 22192-2846

Mailing address

2004 Pin Oak Pkwy
Bowie, MD 20721-3098
Phone (301) 346-3640

Other identifiers 1

IdentifierTypeStateIssuer
2021OtherVASTATE CORP

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1073197604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 PIN OAK PKWY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213098",
            "telephone_number": "301-346-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 HARBOR CENTER DR # 312M",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922846",
            "telephone_number": "571-466-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STALWART HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "CHE",
        "authorized_official_first_name": "MATILDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-346-3640"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CORP",
            "identifier": "2021",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.