Organization Active NPI

Northern VA Home Healthcare LLC

  • In Home Supportive Care Agency
  • Fairfax, VA
National Provider Identifier
1376287219
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NORTHERN VA HOME HEALTHCARE LLC
Practice address
9730 Kingsbridge Dr Apt 2
Fairfax, VA 22031-1691
Phone
(571) 363-5086
NPI assigned
Apr 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Balendu Tripathi
Title
Owner
Phone
(703) 981-2296

Specialties & licenses 1

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

Addresses

Primary practice location

9730 Kingsbridge Dr Apt 2
Fairfax, VA 22031-1691

Mailing address

9730 Kingsbridge Dr Apt 2
Fairfax, VA 22031-1691
Phone (571) 363-5086

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1376287219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 KINGSBRIDGE DR APT 2",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311691",
            "telephone_number": "571-363-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 KINGSBRIDGE DR APT 2",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311691",
            "telephone_number": "571-363-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VA HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "TRIPATHI",
        "authorized_official_first_name": "BALENDU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-981-2296"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.