Camellia Home Care Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CAMELLIA HOME CARE AGENCY LLC

Practice address

15300 Auburn Hills Dr
Woodbridge, VA 22193-5761

Phone

(571) 244-3340

NPI assigned

May 27, 2020

Last updated

May 27, 2020By 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

Raheal M Gabremariam

Title

Owner

Phone

(571) 244-3340

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1235752056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 AUBURN HILLS DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935761",
            "telephone_number": "571-244-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 AUBURN HILLS DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935761",
            "telephone_number": "571-244-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELLIA HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "GABREMARIAM",
        "authorized_official_first_name": "RAHEAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-244-3340"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina T. Calderon
• Keira Lee Ann Cale
• Erin Kelly Callahan, M.S., CF-SLP
• Allison Callow, APRN, CPNP-PC
• Latiesha Jasmin Camacho, PTA
• Brianna Campbell
• Jamie D Campbell
• Peter Lawrence Campbell, M.D.
• Carmen Ana Cancel-de Jesus, PT
• Kayla Michelle Canipe, LPC, CSOTP

• Home Health Agency in Woodbridge, VA
• Providers in Woodbridge, 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 May 27, 2020; 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.