Organization Active NPI

Senior Life Care & Family Agency LLC

  • Home Health Agency
  • Fredericksburg, VA
National Provider Identifier
1316601099
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Dec 13, 2021

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.