Individual provider Active NPI

Sultana Perven

  • Home Health Agency
  • Springfield, VA
National Provider Identifier
1265236525
Registry record updated Apr 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0005772 Issued in VA
Practice address
6560 Backlick Rd Ste 216
Springfield, VA 22150-2806
Phone
(703) 930-2490
Fax
(571) 775-3803
NPI assigned
Apr 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 0005772 VA
Home Health Agency 251E00000X 0005772 VA Primary

Addresses

Primary practice location

6560 Backlick Rd Ste 216
Springfield, VA 22150-2806

Mailing address

6560 Backlick Rd Ste 216
Springfield, VA 22150-2806
Phone (703) 930-2490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0005772VAMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Dhaka Home Care Home Health CurrentSince Apr 20, 2025 Accepting new patients

Locations

6560 Backlick Rd
Ste 216
Springfield, VA 22150
Phone (703) 930-2490

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743897600000",
    "number": "1265236525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 BACKLICK RD STE 216",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502806",
            "telephone_number": "703-930-2490",
            "fax_number": "571-775-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 BACKLICK RD STE 216",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502806",
            "telephone_number": "703-930-2490",
            "fax_number": "571-775-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERVEN",
        "first_name": "SULTANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-06",
        "certification_date": "2025-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "0005772",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "0005772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2025; 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.