Organization Active NPI

Atcap Five Star in-Home Support Services, LLC

  • Developmentally Disabled Services Day Training Agency
  • Woodbridge, VA
National Provider Identifier
1326729633
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ATCAP FIVE STAR IN-HOME SUPPORT SERVICES, LLC
Practice address
13164 Centerpointe Way Ste 202
Woodbridge, VA 22193-5288
Phone
(703) 967-1099
Fax
(571) 285-4386
NPI assigned
Jul 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
Mrs. Philomina E Simpson, NURSE ADMINISTRATORNPI 1407195985
Title
Owner
Phone
(703) 967-1099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

13164 Centerpointe Way Ste 202
Woodbridge, VA 22193-5288

Mailing address

13164 Centerpointe Way Ste 202
Woodbridge, VA 22193-5288
Phone (703) 967-1099

Other names 2

  • ATCAP FIVE STAR IN-HOME SUPPORT SERVICES, LLC Doing business as
  • ATCAP FIVE STAR IN-HOME SUPPORT SERVICES,LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1326729633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13164 CENTERPOINTE WAY STE 202",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935288",
            "telephone_number": "703-967-1099",
            "fax_number": "571-285-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13164 CENTERPOINTE WAY STE 202",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935288",
            "telephone_number": "703-967-1099",
            "fax_number": "571-285-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATCAP FIVE STAR IN-HOME SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "PHILOMINA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-967-1099",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATCAP FIVE STAR IN-HOME SUPPORT SERVICES, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ATCAP FIVE STAR IN-HOME SUPPORT SERVICES,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.