Organization Active NPI

Rest Assured Healthcare Services LLC

  • Home Health Agency
  • Woodbridge, VA
National Provider Identifier
1265946685
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO-1777 Issued in VA
Legal business name
REST ASSURED HEALTHCARE SERVICES LLC
Practice address
4897 Prince William Pkwy Ste 202
Woodbridge, VA 22192-5433
Phone
(703) 649-1865
NPI assigned
Nov 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Michael Wiredu Ashong
Title
Administrator
Phone
(703) 649-1865

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO-1777 VA Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

4897 Prince William Pkwy Ste 202
Woodbridge, VA 22192-5433

Mailing address

4897 Prince William Pkwy Ste 202
Woodbridge, VA 22192-5433
Phone (703) 649-1865

Other identifiers 2

IdentifierTypeStateIssuer
1265946685MedicaidVA
HCO-1777OtherVACOMMONWEALTH OF VA, VDH

National Provider Directory

National Provider Directory

Locations

17290 River Ridge Blvd
Ste 101D
Woodbridge, VA 22191

4897 Prince William Pkwy
Ste 202
Woodbridge, VA 22192
Phone (703) 649-1865

NPI Registry JSON

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1265946685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4897 PRINCE WILLIAM PKWY STE 202",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925433",
            "telephone_number": "703-649-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4897 PRINCE WILLIAM PKWY STE 202",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925433",
            "telephone_number": "703-649-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REST ASSURED HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "WIREDU ASHONG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-649-1865"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-1777",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265946685",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF VA, VDH",
            "identifier": "HCO-1777",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.