Organization Active NPI

Bak Home Healthcare Service

  • Home Health Agency
  • Woodbridge, VA
National Provider Identifier
1407097454
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
06L23950 Issued in VA
Legal business name
BAK HOME HEALTHCARE SERVICE
Practice address
4160 Pineyridge LN
Woodbridge, VA 22193-1841
Phone
(703) 338-3654
Fax
(703) 730-5391
NPI assigned
Mar 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Marie Bakare, ADMINISTRATOR
Title
Nurse Tech
Phone
(703) 338-3654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 06L23950 VA Primary

Addresses

Primary practice location

4160 Pineyridge LN
Woodbridge, VA 22193-1841

Mailing address

4160 Pineyridge LN
Woodbridge, VA 22193-1841
Phone (703) 338-3654

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1407097454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 PINEYRIDGE LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931841",
            "telephone_number": "703-338-3654",
            "fax_number": "703-730-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 PINEYRIDGE LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931841",
            "telephone_number": "703-338-3654",
            "fax_number": "703-730-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAK HOME HEALTHCARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "BAKARE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "NURSE TECH",
        "authorized_official_telephone_number": "703-338-3654",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "06L23950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.