Family Health Care Center

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

FAMILY HEALTH CARE CENTER

Practice address

6560 Backlick Rd Ste 210
Springfield, VA 22150-2806

Phone

(571) 216-2771

NPI assigned

Mar 12, 2018

Organization subpart

No

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

Authorized official

Name

Liban Farah

Title

Manager

Phone

(571) 422-0988

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1235632720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 BACKLICK RD STE 210",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502806",
            "telephone_number": "571-216-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 BACKLICK RD STE 210",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502806",
            "telephone_number": "571-216-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "LIBAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "571-422-0988"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0257943628",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0255994201",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Orthodontics of Virginia LLC
• Alyssa Marie Fanizzi
• Reza Fardshisheh, DMD
• Hanna Farid
• Azra A Farooqui, MD

• Personal Care Attendant in Springfield, VA
• Providers in Springfield, VA by specialty
• Personal Care Attendant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.