Synergy Homecare of NW VA LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SYNERGY HOMECARE OF NW VA LLC

Practice address

1105 N Royal Ave Ste 2
Front Royal, VA 22630-3525

Phone

(540) 636-0038

Fax

(540) 551-3587

NPI assigned

Apr 15, 2019

Last updated

Apr 15, 2019By 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

Ms. Carol L. C. Miller

Title

President / Owner

Phone

(540) 636-0038

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1174186381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 N ROYAL AVE STE 2",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303525",
            "telephone_number": "540-636-0038",
            "fax_number": "540-551-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N ROYAL AVE STE 2",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303525",
            "telephone_number": "540-636-0038",
            "fax_number": "540-551-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY HOMECARE OF NW VA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L. C.",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "540-636-0038",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA DEPT OF HEALTH HOME CARE LICENSE",
            "identifier": "HCO-1620",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Diann Stiles, MS, BCBA
• Ashley Stride
• Guna Subedi, M.D.
• Rajesh Subedi, M.D.
• Carol Tiffany Sweet, CRNA
• Stephanie Lynne Tabor
• Denise Tandjeu Tandjeu, MD
• Target
• Frances Taylor, LPC
• Patricia Forbes Taylor, LPC

• In Home Supportive Care Agency in Front Royal, VA
• Providers in Front Royal, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.