Active NPI
Mosun Olusanya
- Home Health Agency
- McLean, VA
National Provider Identifier
1346830940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HCO-212487
- Practice address
- 7918 Jones Branch Dr Ste 400
MC Lean, VA 22102-3319 - Phone
- (703) 946-1664
- NPI assigned
- Jan 19, 2021
- Last updated
- Mar 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HCO-212487 | VA | Primary |
Addresses
Primary practice location
7918 Jones Branch Dr Ste 400
MC Lean, VA 22102-3319
Mailing address
7918 Jones Branch Dr Ste 400
MC Lean, VA 22102-3319
Phone (703) 946-1664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HCO-212487 | Other | VA | HOME CARE ORGANIZATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HCO-212487 | VA | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cozy Horizons Supported Living | Current | Accepting new patients | |
| Steadfast Home Care Services, LLC | Home Health | Current | Accepting new patients |
Locations
7918 Jones Branch Dr
Ste 400
Mc Lean, VA 22102
Phone (703) 388-2813
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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Home Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1346830940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7918 JONES BRANCH DR STE 400",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221023319",
"telephone_number": "703-946-1664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7918 JONES BRANCH DR STE 400",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221023319",
"telephone_number": "703-946-1664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLUSANYA",
"first_name": "MOSUN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-19",
"last_updated": "2021-03-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "VA",
"license": "HCO-212487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME CARE ORGANIZATION",
"identifier": "HCO-212487",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McLean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.