Active NPI
Coralee Home Health Agency
- Home Health Agency
- Alexandria, VA
National Provider Identifier
1093311607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.