Active NPI
Courtesy First Home Care LLC
- Respite Care
- Alexandria, VA
National Provider Identifier
1396054557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- 372600000X
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0158680154 | Medicaid | VA |
National Provider Directory
National Provider Directory- Tax ID family
- Courtesy First Home Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Alexandria, VA
- NPI 1396053336
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.