Organization Active NPI

Trusthaven Homecare

  • Home Health Agency
  • Manassas, VA
National Provider Identifier
1205358561
Registry record updated Jul 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRUSTHAVEN HOMECARE
Practice address
8809 Sudley Rd Ste 221
Manassas, VA 20110-4749
Phone
(412) 641-9009
NPI assigned
Jul 7, 2017
Last updated
Jul 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2017

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

Authorized official

Name
Chizoba Muoka, RN
Title
Director of Nursing
Phone
(412) 641-9009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

8809 Sudley Rd Ste 221
Manassas, VA 20110-4749

Mailing address

15704 John Diskin Cir
Woodbridge, VA 22191-6555
Phone (412) 641-9009

National Provider Directory

National Provider Directory

Locations

8809 Sudley Rd
Ste 221
Manassas, VA 20110
Phone (412) 641-9009

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499385600000",
    "number": "1205358561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15704 JOHN DISKIN CIR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916555",
            "telephone_number": "412-641-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8809 SUDLEY RD STE 221",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104749",
            "telephone_number": "412-641-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTHAVEN HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2017-07-07",
        "status": "A",
        "authorized_official_last_name": "MUOKA",
        "authorized_official_first_name": "CHIZOBA",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "412-641-9009",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; 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.