Organization Active NPI

Jaymans Home Healthcare Agency LLC

  • Home Health Agency
  • Annandale, VA
National Provider Identifier
1114649225
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JAYMANS HOME HEALTHCARE AGENCY LLC
Practice address
7523 Little River Tpke Apt 102
Annandale, VA 22003-2931
Phone
(571) 351-3093
NPI assigned
Sep 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Ms. Jeneba MansarayNPI 1255069027
Title
Administrator
Phone
(571) 351-3093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7523 Little River Tpke Apt 102
Annandale, VA 22003-2931

Mailing address

7523 Little River Tpke Apt 102
Annandale, VA 22003-2931
Phone (571) 351-3093

Other practice location 1

7523 Little River Tpke Apt 102
Annandale, VA 22003-2931
Phone (571) 351-3093

Other names 1

  • THE NAME OF MY AGENCY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1114649225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7523 LITTLE RIVER TPKE APT 102",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032931",
            "telephone_number": "571-351-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7523 LITTLE RIVER TPKE APT 102",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032931",
            "telephone_number": "571-351-3093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7523 Little River Tpke Apt 102",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220032931",
            "country_code": "US",
            "telephone_number": "571-351-3093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAYMANS HOME HEALTHCARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "MANSARAY",
        "authorized_official_first_name": "JENEBA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "571-351-3093",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE NAME OF MY AGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.