Active NPI
Praise Home Health Services, Inc
- Home Health Agency
- Fairfax, VA
National Provider Identifier
1114279916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PRAISE HOME HEALTH SERVICES, INC
- Practice address
- 3022 Javier Rd Ste 216
Fairfax, VA 22031-4646 - Phone
- (703) 942-6403
- Fax
- (703) 942-6428
- NPI assigned
- Oct 4, 2012
- 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
- Peace Kachuchuru
- Title
- Ceo
- Phone
- (703) 942-6403
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | VA | Primary |
Addresses
Primary practice location
3022 Javier Rd Ste 216
Fairfax, VA 22031-4646
Mailing address
3022 Javier Rd Ste 216
Fairfax, VA 22031-4646
Phone (703) 942-6403
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2066216 | Praise Home Health Services, Inc | Certificate of waiver | Sep 23, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Praise Home Health Services
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Germantown, MD
- NPI 1386996189
-
- Case Management Agency
- Washington, DC
- NPI 1841576956
-
- Home Health Agency
- Washington, DC
- NPI 1386978344
Locations
3022 Javier Rd
Ste 216
Fairfax, VA 22031
Phone (703) 942-6403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370390400000",
"number": "1114279916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3022 JAVIER RD STE 216",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314646",
"telephone_number": "703-942-6403",
"fax_number": "703-942-6428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3022 JAVIER RD STE 216",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314646",
"telephone_number": "703-942-6403",
"fax_number": "703-942-6428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRAISE HOME HEALTH SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-04",
"last_updated": "2013-06-05",
"status": "A",
"authorized_official_last_name": "KACHUCHURU",
"authorized_official_first_name": "PEACE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "703-942-6403"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.