Organization Active NPI

Golden Lotus Home Health LLC

  • In Home Supportive Care Agency
  • Fairfax, VA
National Provider Identifier
1205578671
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOLDEN LOTUS HOME HEALTH LLC
Practice address
9840 Main St Ste 201
Fairfax, VA 22031-3909
Phone
(571) 538-8023
Fax
(571) 503-9998
NPI assigned
Apr 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Quan Vo
Title
Owner/President
Phone
(571) 538-8023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

9840 Main St Ste 201
Fairfax, VA 22031-3909

Mailing address

9840 Main St Ste 201
Fairfax, VA 22031-3909
Phone (571) 538-8023

Other practice location 1

7410 Dunston St
Springfield, VA 22151-3106
Phone (571) 286-8440

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1205578671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9840 MAIN ST STE 201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313909",
            "telephone_number": "571-538-8023",
            "fax_number": "571-503-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9840 MAIN ST STE 201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313909",
            "telephone_number": "571-538-8023",
            "fax_number": "571-503-9998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7410 Dunston St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221513106",
            "country_code": "US",
            "telephone_number": "571-286-8440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLDEN LOTUS HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "QUAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "571-538-8023"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.