Aging Gracefully Senior Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO316PC Issued in VA

Legal business name

AGING GRACEFULLY SENIOR CARE

Practice address

10560 Main St
# 513
Fairfax, VA 22030-7182

Phone

(703) 218-5044

NPI assigned

May 8, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel Kwasi ABA

Title

Chief Admin Officer

Phone

(703) 218-5044

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1235188160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10560 MAIN ST",
            "address_2": "# 513",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307182",
            "telephone_number": "703-218-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 MAIN ST",
            "address_2": "# 513",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307182",
            "telephone_number": "703-218-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING GRACEFULLY SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ABA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "KWASI",
        "authorized_official_title_or_position": "CHIEF ADMIN OFFICER",
        "authorized_official_telephone_number": "703-218-5044"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO316PC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold Agbahiwe, M.D.
• Olayinka Johnson Agboola, MD, MPH
• Pooja Aggarwal, CCC-SLP
• Rubina Aggarwal, OT
• Vanya Aggarwal, MD
• Chanchal Agrawal, PT
• Eligio Aguhob III, PT, DPT
• Wilbert Aguila, P.T.
• Heather Kayla Aguilar
• Glenda Rosemery Aguirre Posada

• Home Health Agency in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.