Organization Active NPI

McCormick Enterprise LLC

Doing business as ACTi-KARE Responsive In Home Care

  • Home Health Agency
  • Manassas, VA
National Provider Identifier
1275249534
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MCCORMICK ENTERPRISE LLC
Doing business as
ACTi-KARE Responsive In Home Care
Practice address
10432 Balls Ford Rd Ste 300
Manassas, VA 20109-2517
Phone
(240) 381-2482
NPI assigned
Jan 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Lorena Lisset Ubillus Alarcon
Title
Owner
Phone
(240) 381-2482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

10432 Balls Ford Rd Ste 300
Manassas, VA 20109-2517

Mailing address

10649 McCormick Farm Dr.
Manassas, VA 20110
Phone (240) 381-2482

Other names 1

  • ACTi-KARE Responsive In Home Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1275249534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10649 MCCORMICK FARM DR.",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "240-381-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10432 BALLS FORD RD STE 300",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092517",
            "telephone_number": "240-381-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCORMICK ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "UBILLUS ALARCON",
        "authorized_official_first_name": "LORENA",
        "authorized_official_middle_name": "LISSET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-381-2482"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACTi-KARE Responsive In Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.