Organization Active NPI

North Star Senior Home Care,LLC

  • Home Health Agency
  • Chantilly, VA
National Provider Identifier
1265321152
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NORTH STAR SENIOR HOME CARE,LLC
Practice address
14801 Murdock St Ste 135
Chantilly, VA 20151-1040
Phone
(703) 651-6792
NPI assigned
Jul 2, 2025
Last updated
Jul 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Kishan S Nainwal
Title
Administrator
Phone
(703) 651-6792

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Personal Care Attendant 3747P1801X
Respite Care 385H00000X

Addresses

Primary practice location

14801 Murdock St Ste 135
Chantilly, VA 20151-1040

Mailing address

14801 Murdock St Ste 135
Chantilly, VA 20151-1040
Phone (703) 651-6792

National Provider Directory

National Provider Directory

Locations

14801 Murdock St
Ste 135
Chantilly, VA 20151
Phone (703) 651-6792

NPI Registry JSON

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1265321152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14801 MURDOCK ST STE 135",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511040",
            "telephone_number": "703-651-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14801 MURDOCK ST STE 135",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511040",
            "telephone_number": "703-651-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR SENIOR HOME CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "NAINWAL",
        "authorized_official_first_name": "KISHAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-651-6792"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.