Organization Active NPI

Coralee Home Health Agency

  • Home Health Agency
  • Alexandria, VA
National Provider Identifier
1093311607
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CORALEE HOME HEALTH AGENCY
Practice address
1011 King Street
Suite B
Alexandria, VA 22314
Phone
(276) 352-0236
NPI assigned
Dec 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Authorized official

Name
Melissa Hodge
Title
Owner/Financial Manager
Phone
(703) 268-9869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1011 King Street
Suite B
Alexandria, VA 22314

Mailing address

107 S West St Ste 567
Alexandria, VA 22314-2824
Phone (276) 352-0236

National Provider Directory

National Provider Directory

Locations

1011 King St
Ste B
Alexandria, VA 22314
Phone (276) 352-0236

1011 King St
#B
Alexandria, VA 22314
Phone (276) 352-0236

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1093311607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S WEST ST STE 567",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142824",
            "telephone_number": "276-352-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 KING STREET",
            "address_2": "SUITE B",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22314",
            "telephone_number": "276-352-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORALEE HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/FINANCIAL MANAGER",
        "authorized_official_telephone_number": "703-268-9869"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.