Esprit Home Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ESPRIT HOME HEALTHCARE LLC

Practice address

4209 Evergreen LN # 101
Annandale, VA 22003-3210

Phone

(703) 998-7400

Fax

(703) 998-6700

NPI assigned

Jul 29, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Fekerte T Abraham, ADMIN

Title

Admin

Phone

(703) 389-0320

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Esprit Home Healthcare LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Home health agency certification: CCN 497568

Legal name

ESPRIT HOME HEALTHCARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 22, 2001

Last certification

Oct 16, 2018

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jul 28, 2016 in VA

Enrollment address

4209 Evergreen LN
Ste 101
Annandale, VA 22003-3210

Listed as

Esprit Home Healthcare LLCCCN 497568

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Mar 22, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Change-of-ownership history 2

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Catherine Diakiwsky

  • Family Nurse Practitioner
  • Alexandria, VA
  • NPI 1467869834

  Home health agency

  Care Compare affiliation
• Natalie Farrell

  • Family Nurse Practitioner
  • Fairfax, VA
  • NPI 1639719404

  Home health agency

  Care Compare affiliation
• Timothy David Muir, MD

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1518012806

  Home health agency

  Care Compare affiliation
• Piyush R Patel, MD

  • Internal Medicine Physician
  • Centreville, VA
  • NPI 1821055625

  Home health agency

  Care Compare affiliation
• Dongjin Shin, FNP

  • Family Nurse Practitioner
  • Fairfax, VA
  • NPI 1679273650

  Home health agency

  Care Compare affiliation
• Melanie Lyn Wiest, ANP

  • Adult Health Nurse Practitioner
  • Woodbridge, VA
  • NPI 1104108554

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1376543512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 EVERGREEN LN",
            "address_2": "101",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033210",
            "telephone_number": "703-998-7400",
            "fax_number": "703-998-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 EVERGREEN LN # 101",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033210",
            "telephone_number": "703-998-7400",
            "fax_number": "703-998-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPRIT HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "FEKERTE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "703-389-0320",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMIN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376543512",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004970098",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Esprit Home Healthcare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Thierry English, M.ED MAC ( SOON TO O
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• Marisa Jo Erskine
• Carmen Julia Escaba, FNP-BC
• Karen Lorena Ruiz Escobar
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• Evergreen Foot and Ankle LLC
• Evergreen Health Care Management LLC

• Home Health Agency in Annandale, VA
• Providers in Annandale, 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 Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.