Organization Active NPI

DD Loving Home Health Care, LLC.

  • Home Health Agency
  • McLean, VA
National Provider Identifier
1154739282
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO-151176 Issued in VA
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

Updated by the provider on Apr 27, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1154739282MedicaidVA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.