Organization Active NPI

Courtesy First Home Care, LLC

  • In Home Supportive Care Agency
  • Alexandria, VA
National Provider Identifier
1396053336
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COURTESY FIRST HOME CARE, LLC
Practice address
5501 Cherokee Ave Ste 202
5501 Cherokee Ave, Suite # 202
Alexandria, VA 22312-2305
Phone
(703) 642-2385
Fax
(703) 642-2583
NPI assigned
Sep 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Authorized official

Name
Mrs. Tania Pereyra I
Title
Supervisor
Phone
(571) 332-4523

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X VA Primary
Adult Care Home Facility 311ZA0620X 372600000X VA

Addresses

Primary practice location

5501 Cherokee Ave Ste 202
5501 Cherokee Ave, Suite # 202
Alexandria, VA 22312-2305

Mailing address

5501 Cherokee Ave Ste 202
5501 Cherokee Ave, Suite # 202
Alexandria, VA 22312-2305
Phone (703) 642-2385

Other identifiers 1

IdentifierTypeStateIssuer
0158679909MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Courtesy First Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1396053336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 CHEROKEE AVE STE 202",
            "address_2": "5501 CHEROKEE AVE, SUITE # 202",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122305",
            "telephone_number": "703-642-2385",
            "fax_number": "703-642-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 CHEROKEE AVE STE 202",
            "address_2": "5501 CHEROKEE AVE, SUITE # 202",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122305",
            "telephone_number": "703-642-2385",
            "fax_number": "703-642-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTESY FIRST HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "PEREYRA",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "571-332-4523",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "VA",
            "license": "372600000X",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0158679909",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.