Organization Active NPI

American Care Partners at Home Inc

  • In Home Supportive Care Agency
  • Falls Church, VA
National Provider Identifier
1346572690
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
0001062479 Issued in VA
Legal business name
AMERICAN CARE PARTNERS AT HOME INC
Practice address
6521 Arlington Blvd.
Suite 410
Falls Church, VA 22042
Phone
(703) 532-4357
Fax
(703) 532-4356
NPI assigned
Feb 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Elias Demoz, MD,MBA,FACPNPI 1518937473
Title
Ceo/President
Phone
(703) 532-4357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 0001062479 VA Primary

Addresses

Primary practice location

6521 Arlington Blvd.
Suite 410
Falls Church, VA 22042

Mailing address

6521 Arlington Blvd.
Suite 410
Falls Church, VA 22042
Phone (703) 532-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110707000295 VA Part A Provider - Home Health Agency 9739367194 Practice locations: Falls Church, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346572690. Details of each certification follow.

Home health agency certification: CCN 497688

Legal name
AMERICAN CARE PARTNERS AT HOME INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 25, 2012
Last certification
Sep 25, 2012
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 1, 2009 in VA
Enrollment address
6521 Arlington Blvd
Ste 410
Falls Church, VA 22042-3009

Care Compare: Home health agency

Medicare Care Compare
Listed as
American Care Partners at Home IncCCN 497688 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Sep 25, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2026284American Care Partners at Home, Inc6521 Arlington Boulevard - Suite 410, Falls Church, VA 22042Certificate of waiverJun 27, 2027

National Provider Directory

National Provider Directory

Locations

159 Lichfield Blvd
Ste 109
Fredericksburg, VA 22406
Phone (540) 479-6422

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
April Whiting Individual Corporate DirectorBoard Member Aug 8, 2023
Chris Isaacs Individual Corporate DirectorBoard Member Aug 8, 2023
Elias G Demoz Individual Corporate OfficerCeo, President, Treasurer, Secr'Y Aug 8, 2023
Corporate DirectorBoard Member Aug 8, 2023
W-2 Managing Employee Aug 8, 2023
American Care Partners Home, Inc. Employee Stock Ownership Trust Organization, Covington, GA Created for acquisition 5% Or Greater Direct Ownership Interest Nov 21, 2023 100%
Nadiatu Bangura Individual Corporate DirectorBoard Member Aug 8, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1346572690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6521 ARLINGTON BLVD.",
            "address_2": "SUITE 410",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22042",
            "telephone_number": "703-532-4357",
            "fax_number": "703-532-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6521 ARLINGTON BLVD.",
            "address_2": "SUITE 410",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22042",
            "telephone_number": "703-532-4357",
            "fax_number": "703-532-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN CARE PARTNERS AT HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "DEMOZ",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "703-532-4357",
        "authorized_official_credential": "MD,MBA,FACP"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "0001062479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.