Organization Active NPI

Marikiel Home Healthcare Agency Inc.

  • Home Health Aide
  • Alexandria, VA
National Provider Identifier
1306674320
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
MARIKIEL HOME HEALTHCARE AGENCY INC.
Practice address
5300 Shawnee Rd Ste 300
Alexandria, VA 22312-2399
Phone
(571) 501-8001
NPI assigned
Jul 22, 2024
Last updated
Jul 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Ms. Soukari Samura
Title
President
Phone
(571) 501-8001

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Home Health Clinical Nurse Specialist 364SH0200X NU
Home Health Aide 374U00000X NU Primary

Addresses

Primary practice location

5300 Shawnee Rd Ste 300
Alexandria, VA 22312-2399

Mailing address

5300 Shawnee Rd Ste 300
Alexandria, VA 22312-2399
Phone (571) 501-8001

Other names 1

  • Marikiel Home Healthcare Agency Former legal business name

National Provider Directory

National Provider Directory

Locations

5300 Shawnee Rd
Ste 300
Alexandria, VA 22312
Phone (571) 501-8001

NPI Registry JSON

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1306674320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 SHAWNEE RD STE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122399",
            "telephone_number": "571-501-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 SHAWNEE RD STE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122399",
            "telephone_number": "571-501-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIKIEL HOME HEALTHCARE AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "SAMURA",
        "authorized_official_first_name": "SOUKARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-501-8001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marikiel Home Healthcare Agency",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 22, 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.