CCPS Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CCPS HEALTH LLC

Practice address

14106 Baneberry Cir
Manassas, VA 20112-8858

Phone

(703) 618-6170

NPI assigned

Sep 24, 2021

Last updated

Sep 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patience R Ocloo Osafo, DIRECTOR

Title

Business Owner

Phone

(703) 618-6170

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1144991696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14106 BANEBERRY CIR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201128858",
            "telephone_number": "703-618-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14106 BANEBERRY CIR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201128858",
            "telephone_number": "703-618-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCPS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "OCLOO OSAFO",
        "authorized_official_first_name": "PATIENCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "703-618-6170",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.