Scarlet Haven Nursing Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO-11694 Issued in VA

Legal business name

SCARLET HAVEN NURSING CARE, LLC

Practice address

12504 Lake Ridge Dr Ste C
Woodbridge, VA 22192-2391

Phone

(703) 490-1197

Fax

(703) 890-3122

NPI assigned

Oct 25, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Eula Khadijatu Secka

Title

Administrator

Phone

(240) 645-7642

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1093015059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12504 LAKE RIDGE DR STE C",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922391",
            "telephone_number": "703-490-1197",
            "fax_number": "703-890-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12504 LAKE RIDGE DR STE C",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922391",
            "telephone_number": "703-490-1197",
            "fax_number": "703-890-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCARLET HAVEN NURSING CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "SECKA",
        "authorized_official_first_name": "EULA",
        "authorized_official_middle_name": "KHADIJATU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-645-7642",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-11694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sat Soft LLC
• Savida Health, PC
• Saving Our Sons and Daughters
• Sameer Kanwar Saxena, M.D.
• Leena Ibrahim Sayed
• Scarlet Haven on Aging, LLC
• Scarlet Haven Residential Services
• Gene Andrew Schiappa, M.D.
• Susan Kay Schmitt Beckmann, RPH
• Amanda Schmitz, DPT, ATC

• Home Health Agency in Woodbridge, VA
• Providers in Woodbridge, 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 Oct 25, 2010; 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.