Lone Jack Holdings, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LONE JACK HOLDINGS, INC.

Practice address

10517 Braddock Rd Ste C
Fairfax, VA 22032-2275

Phone

(703) 267-2380

Fax

(703) 267-2384

NPI assigned

Jul 30, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Robert Withers Massie IV

Title

President

Phone

(630) 699-5900

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• BrightStar of Fairfax Doing business as

Locations

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1124374061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10517 BRADDOCK RD STE C",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220322275",
            "telephone_number": "703-267-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10517 BRADDOCK RD STE C",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220322275",
            "telephone_number": "703-267-2380",
            "fax_number": "703-267-2384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19218 Forest Rd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245024478",
            "country_code": "US",
            "telephone_number": "434-300-3220",
            "fax_number": "434-300-3221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3243 Electric Rd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240186440",
            "country_code": "US",
            "telephone_number": "540-566-5888",
            "fax_number": "540-566-5887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LONE JACK HOLDINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "MASSIE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WITHERS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-699-5900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar of Fairfax",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BrightStar of Fairfax",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liza Lobrin, MSN
• Andrew William Loftus, MD
• Adrienne Michelle Lomaglio, FNP-C
• Erin Marie Lombardi
• Maria Fernanda Londono, LPC
• Susan Elizabeth Lonergan, MSW
• Ruthann Eileen Long-Farias, LPC
• Christina Gail Long, BCBA, LBA
• James E Long, M.D.
• Stephanie Marie Long, PH.D., MSCP, ABPP

• Home Health Agency in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.