Organization Active NPI

Hole in One, Inc.

Doing business as One on One Care

  • Home Health Agency
  • Stafford, VA
National Provider Identifier
1356689426
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO-12801 Issued in VA
Legal business name
HOLE IN ONE, INC.
Doing business as
One on One Care
Practice address
300 Garrisonville Rd
Suite 101
Stafford, VA 22554-8903
Phone
(540) 288-1300
Fax
(540) 657-0723
NPI assigned
Jan 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Bettye Joan Murray
Title
Owner/Administrator
Phone
(540) 288-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO-12801 VA Primary

Addresses

Primary practice location

300 Garrisonville Rd
Suite 101
Stafford, VA 22554-8903

Mailing address

300 Garrisonville Rd
Suite 101
Stafford, VA 22554-8903
Phone (540) 288-1300

Other identifiers 3

IdentifierTypeStateIssuer
0101695770MedicaidVA
0101696075MedicaidVA
0151433635MedicaidVA

Other names 1

  • One on One Care Doing business as

National Provider Directory

National Provider Directory

Locations

300 Garrisonville Rd
Ste 101
Stafford, VA 22554
Phone (540) 288-1300

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1356689426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GARRISONVILLE RD",
            "address_2": "SUITE 101",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548903",
            "telephone_number": "540-288-1300",
            "fax_number": "540-657-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GARRISONVILLE RD",
            "address_2": "SUITE 101",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548903",
            "telephone_number": "540-288-1300",
            "fax_number": "540-657-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLE IN ONE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "BETTYE",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "540-288-1300"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-12801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101695770",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101696075",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151433635",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One on One Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.