Organization Active NPI

Medstar Health Visiting Nurse Association, Inc.

  • Home Health Agency
  • Greenbelt, MD
National Provider Identifier
1154437879
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HH7150 Issued in MD
Legal business name
MEDSTAR HEALTH VISITING NURSE ASSOCIATION, INC.
Practice address
6404 Ivy LN Ste 110
Greenbelt, MD 20770-1416
Phone
(240) 965-2900
Fax
(240) 965-2919
NPI assigned
Aug 23, 2006
Organization subpart
No

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities with the same owner 13

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 13

Affiliated clinicians 383

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 383

Care Compare: Home health agency

Medicare Care Compare
Listed as
Medstar Health Home CareCCN 217150
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Aug 1, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041222000447 MD Part A Provider - Home Health Agency 1951369990 Practice locations: Greenbelt, MD

Home health agency certification: CCN 217150

Legal name
MEDSTAR HEALTH VISITING NURSE ASSOCIATION, INC.
Doing business as
MEDSTAR HEALTH HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 1, 2002
Last certification
Jul 17, 2014
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Apr 16, 1900 in MD
Enrollment address
6404 Ivy LN
Ste 110
Greenbelt, MD 20770-1416
HHA Branch

All disclosed owners & managing parties 6

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Traci Anderson-Araujo Individual Corporate OfficerPresident Dec 31, 2008
Corporate DirectorEx-Officio Board Member Dec 31, 2008
W-2 Managing EmployeePresident Dec 31, 2008
Jeffrey Matton Individual Corporate DirectorBoard Member Jul 31, 2009
Vna Inc Organization, Greenbelt, MD Chain home office 5% Or Greater Direct Ownership Interest Feb 4, 2000 100%
Mark W Meginnis Individual Corporate DirectorBoard Member Jul 31, 2009
Medstar Health, Inc. Organization, Columbia, MD Corporation 5% Or Greater Indirect Ownership Interest Feb 4, 2000 100%
Eric Wagner Individual Corporate DirectorBoard Chairman Jul 31, 2009

National Provider Directory

National Provider Directory
Tax ID family
Medstar Health Home Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

6525 Belcrest Rd
Ste 700
Hyattsville, MD 20782
Phone (240) 965-2900

6525 Belcrest Rd
Fl 7
Hyattsville, MD 20782

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Ms. Traci K Anderson-Araujo
Title
President
Phone
(443) 812-8131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HH7150 MD Primary

Addresses

Primary practice location

6404 Ivy LN Ste 110
Greenbelt, MD 20770-1416

Mailing address

6404 Ivy LN Ste 110
Greenbelt, MD 20770-1416
Phone (240) 965-2900

Other identifiers 8

IdentifierTypeStateIssuer
044003500MedicaidMD
028880900MedicaidDC
779OtherCAREFIRST NASCO
58469702OtherBCBS OF MARYLAND
68972OtherAMERICAID
4971612MedicaidVA
779OtherBCBS NCA
478204OtherAETNA

Other names 1

  • MedStar Health Home Care Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1154437879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 IVY LN STE 110",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701416",
            "telephone_number": "240-965-2900",
            "fax_number": "240-965-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 IVY LN STE 110",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701416",
            "telephone_number": "240-965-2900",
            "fax_number": "240-965-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR HEALTH VISITING NURSE ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON-ARAUJO",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-812-8131",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "HH7150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044003500",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028880900",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST NASCO",
            "identifier": "779",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MARYLAND",
            "identifier": "58469702",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAID",
            "identifier": "68972",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4971612",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NCA",
            "identifier": "779",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "478204",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedStar Health Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedStar Health Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.