Maryam Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MARYAM HOME HEALTH LLC

Practice address

3453 Castle Hill Dr
Woodbridge, VA 22193-5319

Phone

(240) 869-9325

Fax

(571) 589-0141

NPI assigned

May 2, 2023

Last updated

Mar 28, 2024By 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

Zeinab M Ahmed

Title

Director

Phone

(240) 869-9325

Specialties & licenses 3

Addresses

Other names 1

• Maryam Home Health LLC Former legal business name

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1255020608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3453 CASTLE HILL DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935319",
            "telephone_number": "240-869-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3453 CASTLE HILL DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935319",
            "telephone_number": "240-869-9325",
            "fax_number": "571-589-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYAM HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ZEINAB",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-869-9325"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryam Home Health LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Maryam Home Health LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Debra Jean Massaro, NP-C

• 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 Mar 28, 2024; 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.