Organization Active NPI

Burlee Oaks Home Healthcare LLC

  • Home Health Agency
  • Fairfax, VA
National Provider Identifier
1336719749
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BURLEE OAKS HOME HEALTHCARE LLC
Practice address
10306 Eaton PL Ste 300
Fairfax, VA 22030-2201
Phone
(571) 257-4244
NPI assigned
Jun 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Amivi A Henyo
Title
Ceo
Phone
(571) 778-7032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

10306 Eaton PL Ste 300
Fairfax, VA 22030-2201

Mailing address

10306 Eaton PL Ste 300
Fairfax, VA 22030-2201
Phone (571) 257-4244

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1336719749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10306 EATON PL STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302201",
            "telephone_number": "571-257-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10306 EATON PL STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302201",
            "telephone_number": "571-257-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLEE OAKS HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "HENYO",
        "authorized_official_first_name": "AMIVI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "571-778-7032"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.