Active NPI
DD Loving Home Health Care, LLC.
- Home Health Agency
- McLean, VA
National Provider Identifier
1154739282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HCO-151176
- Legal business name
- DD LOVING HOME HEALTH CARE, LLC.
- Practice address
- 1600 Tysons Blvd
MC Lean, VA 22102-4865 - Phone
- (703) 870-1469
- Fax
- (866) 898-2688
- NPI assigned
- Aug 1, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Demi Kelley, RN
- Title
- Director of Nursing
- Phone
- (703) 870-1469
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HCO-151176 | VA | Primary |
| Home Health Agency | 251E00000X | R3888 | MD |
Addresses
Primary practice location
1600 Tysons Blvd
MC Lean, VA 22102-4865
Mailing address
1600 Tysons Blvd
MC Lean, VA 22102-4865
Phone (703) 870-1469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154739282 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
1600 Tysons Blvd
Mc Lean, VA 22102
Phone (703) 870-1469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461715200000",
"number": "1154739282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 TYSONS BLVD",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221024865",
"telephone_number": "703-870-1469",
"fax_number": "866-898-2688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 TYSONS BLVD",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221024865",
"telephone_number": "703-870-1469",
"fax_number": "866-898-2688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DD LOVING HOME HEALTH CARE, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-01",
"last_updated": "2016-04-27",
"status": "A",
"authorized_official_last_name": "KELLEY",
"authorized_official_first_name": "DEMI",
"authorized_official_title_or_position": "DIRECTOR OF NURSING",
"authorized_official_telephone_number": "703-870-1469",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "VA",
"license": "HCO-151176",
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MD",
"license": "R3888",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154739282",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McLean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.