Ancient Healing Healthcare Services,LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO-1754 Issued in VA

Legal business name

ANCIENT HEALING HEALTHCARE SERVICES,LLC

Practice address

5680 King Centre Dr
Alexandria, VA 22315-5757

Phone

(703) 647-3645

NPI assigned

Nov 8, 2017

Last updated

Nov 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rehema Abraham Mollel, ADON

Title

Adon

Phone

(703) 647-3645

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Evelyne Kingori, FNP-C

  • Family Nurse Practitioner
  • Fairfax, VA
  • NPI 1821650177
  NPD (past)

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1356854608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 KING CENTRE DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155757",
            "telephone_number": "703-647-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 KING CENTRE DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155757",
            "telephone_number": "703-647-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCIENT HEALING HEALTHCARE SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "MOLLEL",
        "authorized_official_first_name": "REHEMA",
        "authorized_official_middle_name": "ABRAHAM",
        "authorized_official_title_or_position": "ADON",
        "authorized_official_telephone_number": "703-647-3645",
        "authorized_official_credential": "ADON"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-1754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cressalyn Anane
• Maria Anastasiou, LMFT
• Tedla Anbessie, MD
• Anchor Clinical Psychology, LLC.
• Anchor Physical Therapy Northern Virginia PLLC
• Anderson and Barragan Dental Associates II PLLC (RenovaSmiles)
• Anderson Clinic LLC (Anderson Clinic Inc)
• Adrienne Lynn Anderson, PHD
• Amy B Anderson, DPT
• David Carlson Anderson, DDS

• Home Health Agency in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.