Organization Active NPI

Praise Home Health Services, Inc

  • Home Health Agency
  • Fairfax, VA
National Provider Identifier
1114279916
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jun 5, 2013

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2066216Praise Home Health Services, Inc3022 Javier Road - Suite 216, Fairfax, VA 22031Certificate of waiverSep 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Praise Home Health Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.