Centre Home Health Care

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CENTRE HOME HEALTH CARE

Practice address

12020 Sunrise Valley Dr
Reston, VA 20191-3440

Phone

(703) 216-5528

NPI assigned

Sep 16, 2013

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ifrah Abshir Fatah

Title

Owner

Phone

(703) 216-5528

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306272927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12020 SUNRISE VALLEY DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913440",
            "telephone_number": "703-216-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12020 SUNRISE VALLEY DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913440",
            "telephone_number": "703-216-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FATAH",
        "authorized_official_first_name": "IFRAH",
        "authorized_official_middle_name": "ABSHIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-216-5528"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britney Casey, BCBA, LBA
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• Eunice Chai, LCSW
• Alana Marie Chambers, MSPT
• Grace H Chan, LPC

• Health Service Clinic/Center in Reston, VA
• Providers in Reston, VA by specialty
• Health Service Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.