Individual provider Active NPI

Mekdes Tilahun

  • Home Health Aide
  • Alexandria, VA
National Provider Identifier
1275173866
Registry record updated Feb 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HCO-202233 Issued in VA
Practice address
85 S Bragg St Ste 200a
Alexandria, VA 22312-2793
Phone
(703) 459-5880
NPI assigned
Jan 10, 2020
Last updated
Feb 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HCO-202233 VA Primary

Addresses

Primary practice location

85 S Bragg St Ste 200a
Alexandria, VA 22312-2793

Mailing address

85 S Bragg St Ste 200a
Alexandria, VA 22312-2793
Phone (703) 537-1062

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
HCO-202233VAMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Smartt Care With Love Home Care Agency CurrentSince Jan 26, 2020 Accepting new patients

Locations

85 S Bragg St
Ste 200A
Alexandria, VA 22312
Phone (703) 459-5880

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": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582934400000",
    "number": "1275173866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S BRAGG ST STE 200A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122793",
            "telephone_number": "703-537-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S BRAGG ST STE 200A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122793",
            "telephone_number": "703-459-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILAHUN",
        "first_name": "MEKDES",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-02-29",
        "certification_date": "2020-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "VA",
            "license": "HCO-202233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.