Organization Active NPI

Origin Home Health LLC

  • Home Health Agency
  • Alexandria, VA
National Provider Identifier
1144040643
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ORIGIN HOME HEALTH LLC
Practice address
5100 Leesburg Pike
Alexandria, VA 22302-1038
Phone
(716) 431-0767
NPI assigned
Oct 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Tsion Habte
Title
Assistant Administrator
Phone
(716) 431-0767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5100 Leesburg Pike
Alexandria, VA 22302-1038

Mailing address

5100 Leesburg Pike
Alexandria, VA 22302-1038

National Provider Directory

National Provider Directory

Locations

5100 Leesburg Pike
Alexandria, VA 22302
Phone (716) 431-0767

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1144040643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 LEESBURG PIKE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 LEESBURG PIKE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021038",
            "telephone_number": "716-431-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGIN HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "HABTE",
        "authorized_official_first_name": "TSION",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "716-431-0767"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.