Organization Active NPI

Homecare Rehab LLC

  • Home Health Agency
  • Chantilly, VA
National Provider Identifier
1225650674
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOMECARE REHAB LLC
Practice address
4229 Lafayette Center Dr Ste 1125a
Chantilly, VA 20151-1262
Phone
(301) 662-1997
NPI assigned
May 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
John BakerNPI 1548283146
Title
President
Phone
(866) 727-3422

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

4229 Lafayette Center Dr Ste 1125a
Chantilly, VA 20151-1262

Mailing address

197 Thomas Johnson Dr Ste B
Frederick, MD 21702-4314
Phone (301) 662-1997

Other names 1

  • Baker Rehab and Nursing Home Health Agency Doing business as

National Provider Directory

National Provider Directory

Locations

4229 Lafayette Center Dr
Ste 1125A
Chantilly, VA 20151
Phone (301) 662-1997

2 E Pennsylvania Ave
Lovettsville, VA 20180

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": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1225650674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 THOMAS JOHNSON DR STE B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024314",
            "telephone_number": "301-662-1997",
            "fax_number": "301-668-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR STE 1125A",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511262",
            "telephone_number": "301-662-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-727-3422"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baker Rehab and Nursing Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.