Active NPI
Senior Life Care & Family Agency LLC
- Home Health Agency
- Fredericksburg, VA
National Provider Identifier
1316601099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SENIOR LIFE CARE & FAMILY AGENCY LLC
- Practice address
- 11724 Main St Ste 208
Fredericksburg, VA 22408-7300 - Phone
- (703) 677-6660
- NPI assigned
- Oct 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adwoa Nyameke
- Title
- Owner/Vice President
- Phone
- (703) 677-6660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
11724 Main St Ste 208
Fredericksburg, VA 22408-7300
Mailing address
4 Trellis Dr
Stafford, VA 22554-8212
Phone (703) 677-6660
National Provider Directory
National Provider DirectoryLocations
11724 Main St
Ste 208
Fredericksburg, VA 22408
Phone (703) 677-6660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639353600000",
"number": "1316601099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 TRELLIS DR",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225548212",
"telephone_number": "703-677-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11724 MAIN ST STE 208",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224087300",
"telephone_number": "703-677-6660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR LIFE CARE & FAMILY AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-28",
"last_updated": "2021-12-13",
"certification_date": "2021-12-13",
"status": "A",
"authorized_official_last_name": "NYAMEKE",
"authorized_official_first_name": "ADWOA",
"authorized_official_title_or_position": "OWNER/VICE PRESIDENT",
"authorized_official_telephone_number": "703-677-6660"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.