Individual provider Active NPI

Mosun Olusanya

  • Home Health Agency
  • McLean, VA
National Provider Identifier
1346830940
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO-212487 Issued in VA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HCO-212487OtherVAHOME 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

LicenseStateTypeSpecialty
HCO-212487VAMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.