Organization Active NPI

Empire Home Health Services LLC

  • In Home Supportive Care Agency
  • Fairfax, VA
National Provider Identifier
1083493399
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EMPIRE HOME HEALTH SERVICES LLC
Practice address
3060 Williams Dr Ste 3114
Fairfax, VA 22031-4667
Phone
(703) 473-2719
NPI assigned
Sep 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Tabassum Rahman
Title
Owner
Phone
(703) 473-2719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3060 Williams Dr Ste 3114
Fairfax, VA 22031-4667

Mailing address

3060 Williams Dr Ste 3114
Fairfax, VA 22031-4667
Phone (703) 473-2719

National Provider Directory

National Provider Directory

Locations

3060 Williams Dr
Ste 3114
Fairfax, VA 22031
Phone (703) 473-2719

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1083493399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 WILLIAMS DR STE 3114",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314667",
            "telephone_number": "703-473-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 WILLIAMS DR STE 3114",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314667",
            "telephone_number": "703-473-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "TABASSUM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-473-2719"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.