Organization Active NPI

Haven Home Health Care

  • Home Health Agency
  • Sterling, VA
National Provider Identifier
1093250672
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HAVEN HOME HEALTH CARE
Practice address
21335 Signal Hill Plaza Suite 250
Sterling, VA 20164
Phone
(703) 444-2244
Fax
(703) 982-7520
NPI assigned
Jan 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Medina Ibrahim
Title
Administrator
Phone
(703) 444-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

21335 Signal Hill Plaza Suite 250
Sterling, VA 20164

Mailing address

21335 Signal Hill Plaza Suite 250
Sterling, VA 20164
Phone (703) 444-2244

National Provider Directory

National Provider Directory

Locations

21335 Signal Hill Plz
Ste 250
Sterling, VA 20164
Phone (571) 446-7997

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1093250672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21335 SIGNAL HILL PLAZA SUITE 250",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "20164",
            "telephone_number": "703-444-2244",
            "fax_number": "703-982-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21335 SIGNAL HILL PLAZA SUITE 250",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "20164",
            "telephone_number": "703-444-2244",
            "fax_number": "703-982-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "MEDINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-444-2244"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.