Organization Active NPI

Healing Hands Health Agency LLC

  • Home Health Agency
  • Dumfries, VA
National Provider Identifier
1194178350
Registry record updated Jan 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALING HANDS HEALTH AGENCY LLC
Practice address
17323 Jefferson Davis Hwy Suite 201
Dumfries, VA 22026
Phone
(703) 221-4404
Fax
(703) 221-0204
NPI assigned
Jul 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2021

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

Authorized official

Name
Afua AyimNPI 1336686245
Title
Administrator
Phone
(703) 340-6697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

17323 Jefferson Davis Hwy Suite 201
Dumfries, VA 22026

Mailing address

17323 Jefferson Davis Hwy Suite 201
Dumfries, VA 22026
Phone (700) 322-1440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210301000267 VA Part A Provider - Home Health Agency 2163837055 Practice locations: Dumfries, VA

Home health agency certification: CCN 497786

Legal name
HEALING HANDS HEALTH AGENCY LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 22, 2022
Last certification
Apr 22, 2022
Organization structure
LLCProprietary
Incorporated
Feb 9, 2016 in VA
Enrollment address
17323 Richmond Hwy
Ste 201
Dumfries, VA 22026-2284

Care Compare: Home health agency

Medicare Care Compare
Listed as
Healing Hands Health Agency LLCCCN 497786 · All quality measures
Overall star rating
4 of 5
Ownership
-
Certified
Apr 22, 2022
Medicare certification status
ActiveFrom the Provider of Services file

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
49D2222902Healing Hands Health Agency17323 Richmond Hwy Suite 201, Dumfries, VA 22026Certificate of waiverMay 2, 2027

National Provider Directory

National Provider Directory

Locations

17323 Richmond Hwy
Ste 201
Dumfries, VA 22026
Phone (703) 221-4404

13601 Office Pl
Ste 101
Woodbridge, VA 22192
Phone (703) 897-8925

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Afua Ayim Individual 5% Or Greater Direct Ownership InterestAdministrator Feb 9, 2021 100%
W-2 Managing EmployeeAdministrator/Owner Feb 9, 2016 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611360000000",
    "number": "1194178350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17323 JEFFERSON DAVIS HWY SUITE 201",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "22026",
            "telephone_number": "700-322-1440",
            "fax_number": "703-221-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17323 JEFFERSON DAVIS HWY SUITE 201",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "22026",
            "telephone_number": "703-221-4404",
            "fax_number": "703-221-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A",
        "authorized_official_last_name": "AYIM",
        "authorized_official_first_name": "AFUA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-340-6697"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

Verify at the official NPI Registry.