Active NPI
Baaba Sam
- Home Health Agency
- Woodbridge, VA
National Provider Identifier
1275877631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 13662 Office PL Ste 104
Woodbridge, VA 22192-4217 - Phone
- (703) 910-7257
- NPI assigned
- Nov 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
13662 Office PL Ste 104
Woodbridge, VA 22192-4217
Mailing address
13662 Office PL Ste 104
Woodbridge, VA 22192-4217
Phone (703) 910-7257
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perfect Home Health Care LLC | Home Health | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Home Health Agency
- Dumfries, VA
- NPI 1912302530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715990400000",
"number": "1275877631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13662 OFFICE PL STE 104",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221924217",
"telephone_number": "703-910-7257",
"fax_number": "703-910-7093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13662 OFFICE PL STE 104",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221924217",
"telephone_number": "703-910-7257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAM",
"first_name": "BAABA",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-23",
"last_updated": "2024-05-18",
"certification_date": "2024-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 May 18, 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.