Organization Active NPI

Memories of Life Home Care LLC

  • Home Health Agency
  • Stafford, VA
National Provider Identifier
1376346635
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEMORIES OF LIFE HOME CARE LLC
Practice address
800 Corporate Dr Ste 343
Stafford, VA 22554-4889
Phone
(703) 296-8864
NPI assigned
Mar 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Joyceline Owusu-Dankwaa
Title
Owner/President
Phone
(703) 296-8864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

800 Corporate Dr Ste 343
Stafford, VA 22554-4889

Mailing address

2625 Cast Off Loop
Woodbridge, VA 22191-1470
Phone (703) 296-8864

National Provider Directory

National Provider Directory

Locations

800 Corporate Dr
Ste 343
Stafford, VA 22554
Phone (703) 296-8864

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1376346635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 CAST OFF LOOP",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221911470",
            "telephone_number": "703-296-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CORPORATE DR STE 343",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225544889",
            "telephone_number": "703-296-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIES OF LIFE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "OWUSU-DANKWAA",
        "authorized_official_first_name": "JOYCELINE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "703-296-8864"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 31, 2025; 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.