NPIMap

Organization Active NPI

Healing Home Healthcare Inc.

  • Home Health Agency
  • Manassas, VA
National Provider Identifier
1174920573
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALING HOME HEALTHCARE INC.
Practice address
7000 Infantry Ridge Rd Ste 110
Manassas, VA 20109-2370
Phone
(703) 650-0576
Fax
(703) 543-9909
NPI assigned
Dec 1, 2014
Last updated
Sep 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Authorized official

Name
Gurdev Singh
Title
Managing Director
Phone
(703) 650-0576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7000 Infantry Ridge Rd Ste 110
Manassas, VA 20109-2370

Mailing address

7000 Infantry Ridge Rd Ste 110
Manassas, VA 20109-2370
Phone (703) 650-0576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150610002515 VA Part A Provider - Home Health Agency 9537480918 Practice locations: Manassas, VA
O20210629000233 VA Part B Supplier - Home Infusion Therapy Supplier 9537480918 Practice locations: Manassas, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174920573. Details of each certification follow.

Home health agency certification: CCN 497751

Legal name
HEALING HOME HEALTHCARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 29, 2017
Last certification
Dec 29, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 5, 2013 in VA
Enrollment address
7000 Infantry Ridge Rd
Ste 110
Manassas, VA 20109-2370

Care Compare: Home health agency

Medicare Care Compare
Listed as
Healing Home Healthcare IncCCN 497751 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Dec 29, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2104748Healing Home Healthcare, Inc7000 Infantry Ridge Rd, Ste 110, Manassas, VA 20109Certificate of waiverNov 10, 2027

National Provider Directory

National Provider Directory

Locations

8140 Ashton Ave
#112
Manassas, VA 20109
Phone (703) 650-0576

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Gurpreet K Bajwa Individual Corporate OfficerVice President, Secretary, Admin Nov 5, 2013
Corporate DirectorVice President, Secretary, Admin Nov 5, 2013
W-2 Managing Employee Nov 5, 2013
Gurdev Singh Individual 5% Or Greater Direct Ownership Interest Nov 5, 2013 100%
Corporate OfficerPresident/Treasurer Nov 5, 2013
Corporate DirectorPresident/Treasurer Nov 5, 2013

Practitioners & affiliated clinicians

Affiliated clinicians 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1174920573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 INFANTRY RIDGE RD STE 110",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092370",
            "telephone_number": "703-650-0576",
            "fax_number": "703-543-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 INFANTRY RIDGE RD STE 110",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092370",
            "telephone_number": "703-650-0576",
            "fax_number": "703-543-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HOME HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "GURDEV",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "703-650-0576"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.