Organization Active NPI

Somatus Renal Care of Tennessee PLLC

  • In Home Supportive Care Agency
  • Vienna, VA
National Provider Identifier
1093290462
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SOMATUS RENAL CARE OF TENNESSEE PLLC
Practice address
8000 Towers Crescent Dr Ste 1100
Vienna, VA 22182-6223
Phone
(571) 332-5253
NPI assigned
Oct 1, 2018
Last updated
Apr 29, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
SOMATUS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Authorized official

Name
Michael Reilly
Title
Chief Operating Officer
Phone
(877) 497-7662

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

8000 Towers Crescent Dr Ste 1100
Vienna, VA 22182-6223

Mailing address

8000 Towers Crescent Dr Ste 1100
Vienna, VA 22182-6223

National Provider Directory

National Provider Directory
Part of
Somatus Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1093290462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 TOWERS CRESCENT DR STE 1100",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221826223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 TOWERS CRESCENT DR STE 1100",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221826223",
            "telephone_number": "571-332-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMATUS RENAL CARE OF TENNESSEE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOMATUS INC",
        "enumeration_date": "2018-10-01",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "877-497-7662"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.