Organization Active NPI

Mary'S Homecare LLC

  • In Home Supportive Care Agency
  • Arlington, VA
National Provider Identifier
1336593029
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MARY'S HOMECARE LLC
Practice address
2439 S Culpeper St
Arlington, VA 22206-1028
Phone
(703) 843-3502
NPI assigned
Apr 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Jose Carlos Astorga Castro
Title
Owner
Phone
(703) 843-3502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2439 S Culpeper St
Arlington, VA 22206-1028

Mailing address

2439 S Culpeper St
Arlington, VA 22206-1028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1336593029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 S CULPEPER ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222061028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 S CULPEPER ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222061028",
            "telephone_number": "703-843-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY'S HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "ASTORGA CASTRO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-843-3502"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.