Active NPI
Healing Hands Health Agency LLC
- Home Health Agency
- Dumfries, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Afua Ayim
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Overall star rating
- Ownership
- -
- Certified
- Apr 22, 2022
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2222902 | Healing Hands Health Agency | Certificate of waiver | May 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Afua Ayim | 5% Or Greater Direct Ownership Interest | Feb 9, 2021 | 100% |
| W-2 Managing Employee | 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.
-
- Nurse Practitioner
- Manassas, VA
- NPI 1336686245
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Manassas, VA
- NPI 1336686245
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.