South Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO-14989 Issued in VA

Legal business name

SOUTH HOME HEALTH CARE, LLC

Practice address

4601 Pinecrest Office Park Dr Ste F
Alexandria, VA 22312-1442

Phone

(703) 750-1101

Fax

(703) 750-1102

NPI assigned

Aug 13, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Asha Mohamud Elmi

Title

Owner

Phone

(703) 750-1101

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1245663335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PINECREST OFFICE PARK DR STE F",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121442",
            "telephone_number": "703-750-1101",
            "fax_number": "703-750-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 PINECREST OFFICE PARK DR STE F",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121442",
            "telephone_number": "703-750-1101",
            "fax_number": "703-750-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "ELMI",
        "authorized_official_first_name": "ASHA",
        "authorized_official_middle_name": "MOHAMUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-750-1101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-14989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenzy Soto-Valdez
• Ramon A Soto
• Memounatou Soumah
• Courtney E Souter, DPT
• South County Health Center
• Cathy Southammakosane, M.D.
• Jacqueline G Souza
• Shannon C Spada, RD
• Marci Spain
• Khadija Azure Sparrow, BEHAVIORAL TECHNICAN

• Home Health Agency in Alexandria, VA
• Providers in Alexandria, 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 Mar 19, 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.