Active NPI
Eveready Home Care, LLC
- Home Health Agency
- Dumfries, VA
National Provider Identifier
1205246022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HCO-14719
- Legal business name
- EVEREADY HOME CARE, LLC
- Practice address
- 17902 Main St
Dumfries, VA 22026-2466 - Phone
- (703) 496-4300
- Fax
- (855) 256-4003
- NPI assigned
- May 1, 2014
- Last updated
- Sep 30, 2021
- 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
- Mrs. Priscilla Owusu Obeng, REGISTERED NURSE
- Title
- Nursing Director/Ceo
- Phone
- (703) 496-4300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | HCO-14719 | VA | |
| Home Health Agency | 251E00000X | HCO-14719 | VA | Primary |
| Home Infusion Agency | 251F00000X | HCO-14719 | VA | |
| Nursing Care Agency | 251J00000X | HCO-14719 | VA | |
| Early Intervention Provider Agency | 252Y00000X | HCO14719 | VA | |
| In Home Supportive Care Agency | 253Z00000X | HCO14719 | VA | |
| Physical Therapy Clinic/Center | 261QP2000X | HCO-14719 | VA | |
| Respite Care | 385H00000X | HCO-14719 | VA |
Addresses
Primary practice location
17902 Main St
Dumfries, VA 22026-2466
Mailing address
17902 Main St
Dumfries, VA 22026-2466
Phone (703) 496-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477867414 | Medicaid | VA |
Other names 1
- Paaak Healthcare Solutions, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210203000881 | VA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8426279167 | Practice locations: Dumfries, VA |
National Provider Directory
National Provider Directory- Tax ID family
- Eveready Home Care LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Newport News, VA
- NPI 1184393084
-
- Home Health Agency
- Fredericksburg, VA
- NPI 1881361764
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Home Health Registered Nurse
- Dumfries, VA
- NPI 1477867414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632960000000",
"number": "1205246022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17902 MAIN ST",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220262466",
"telephone_number": "703-496-4300",
"fax_number": "855-256-4003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17902 MAIN ST",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220262466",
"telephone_number": "703-496-4300",
"fax_number": "855-256-4003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVEREADY HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-01",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A",
"authorized_official_last_name": "OBENG",
"authorized_official_first_name": "PRISCILLA",
"authorized_official_middle_name": "OWUSU",
"authorized_official_title_or_position": "NURSING DIRECTOR/CEO",
"authorized_official_telephone_number": "703-496-4300",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "VA",
"license": "HCO-14719",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "VA",
"license": "HCO-14719",
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "VA",
"license": "HCO-14719",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "VA",
"license": "HCO-14719",
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "VA",
"license": "HCO14719",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "VA",
"license": "HCO14719",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "VA",
"license": "HCO-14719",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "VA",
"license": "HCO-14719",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477867414",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Paaak Healthcare Solutions, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}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 Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.