Organization Active NPI

Entyre Care Virginia, Inc.

  • Home Health Agency
  • Arlington, VA
National Provider Identifier
1124424775
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO15660 Issued in VA
Legal business name
ENTYRE CARE VIRGINIA, INC.
Practice address
4201 Wilson Blvd FL 3
Arlington, VA 22203-4420
Phone
(703) 273-8818
Fax
(703) 273-8874
NPI assigned
Nov 10, 2014
Organization subpart
Yes
Parent organization
ENTYRE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Antonia Wissenbach
Title
General Manager
Phone
(804) 596-6468

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO15660 VA Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X
Respite Care 385H00000X

Addresses

Primary practice location

4201 Wilson Blvd FL 3
Arlington, VA 22203-4420

Mailing address

4201 Wilson Blvd FL 3
Arlington, VA 22203-4420
Phone (703) 273-8818

Other practice location 1

10875 Main St
Fairfax, VA 22030-4732
Phone (703) 273-8818

Other identifiers 1

IdentifierTypeStateIssuer
0087037104MedicaidVA

Other names 1

  • Medical Professionals On Call Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Medical Professionals on-Call Inc3 organizations share this tax ID, including this one
Part of
Entyre Inc

Other organizations with this tax ID 2

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

Locations

10875 Main St
Fairfax, VA 22030
Phone (703) 591-4010

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1124424775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 WILSON BLVD FL 3",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222034420",
            "telephone_number": "703-273-8818",
            "fax_number": "703-273-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 WILSON BLVD FL 3",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222034420",
            "telephone_number": "703-273-8818",
            "fax_number": "703-273-8874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10875 Main St",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220304732",
            "country_code": "US",
            "telephone_number": "703-273-8818",
            "fax_number": "703-273-8874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENTYRE CARE VIRGINIA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENTYRE INC",
        "enumeration_date": "2014-11-10",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "WISSENBACH",
        "authorized_official_first_name": "ANTONIA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "804-596-6468"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO15660",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087037104",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Professionals On Call",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.