Organization Active NPI

Project Mend-a-House

  • Home Modifications Contractor
  • Manassas, VA
National Provider Identifier
1316194699
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Legal business name
PROJECT MEND-A-HOUSE
Practice address
9500 Technology Drive
Manassas, VA 20110
Phone
(703) 792-7663
Fax
(703) 792-7663
NPI assigned
Aug 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jennifer Schock-Bolles
Title
Executive Director
Phone
(703) 792-7663

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171WH0202X Primary
Health EducatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174H00000X
Assistive Technology Supplier Rehabilitation CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225CA2500X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

9500 Technology Drive
Manassas, VA 20110

Mailing address

9500 Technology Drive
Manassas, VA 20110
Phone (703) 792-7663

Other names 1

  • Project Mend-A-House Other name

National Provider Directory

National Provider Directory

Locations

9500 Technology Dr
Manassas, VA 20110
Phone (703) 792-7663

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316194699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 TECHNOLOGY DRIVE",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-792-7663",
            "fax_number": "703-792-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 TECHNOLOGY DRIVE",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-792-7663",
            "fax_number": "703-792-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT MEND-A-HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCHOCK-BOLLES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "703-792-7663"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225CA2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor, Assistive Technology Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Project Mend-A-House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 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.