Organization Active NPI

Courtesy First Home Care LLC

  • Respite Care
  • Alexandria, VA
National Provider Identifier
1396054557
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
372600000X Issued in VA
Legal business name
COURTESY FIRST HOME CARE LLC
Practice address
5501 Cherokee Ave
Suite # 202
Alexandria, VA 22312-2305
Phone
(703) 642-2385
Fax
(703) 642-2583
NPI assigned
Oct 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 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
(703) 642-2385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 372600000X VA Primary

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0158680154MedicaidVA

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.

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1396054557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 CHEROKEE AVE",
            "address_2": "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",
            "address_2": "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": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "PEREYRA",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "703-642-2385",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "VA",
            "license": "372600000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0158680154",
            "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 Oct 5, 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.