Imperial Home Healthcare LLC

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

HCO-349 Issued in VA

Legal business name

IMPERIAL HOME HEALTHCARE LLC

Practice address

916 W Broad St
Falls Church, VA 22046-3135

Phone

(703) 237-1388

Fax

(703) 237-3189

NPI assigned

Apr 11, 2006

Last updated

Jul 21, 2022By 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

Mr. Tonganty Borbor

Title

Ceo

Phone

(703) 237-1388

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1164485975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 W BROAD ST",
            "address_2": "SUITE 201",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463135",
            "telephone_number": "703-237-1388",
            "fax_number": "703-237-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 W BROAD ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463135",
            "telephone_number": "703-237-1388",
            "fax_number": "703-237-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BORBOR",
        "authorized_official_first_name": "TONGANTY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-237-1388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "VA",
            "license": "HCO-349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Skilled Nursing Facility in Falls Church, VA
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• Pediatric Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.