Amazing Home Care Services VA LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

AMAZING HOME CARE SERVICES VA LLC

Practice address

1660 International Dr Ste 600
MC Lean, VA 22102-4877

Phone

(703) 881-1989

Fax

(703) 881-1989

NPI assigned

Jun 26, 2019

Last updated

Oct 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luzdarys Avendano, HCO222081

Title

Director

Phone

(703) 881-1989

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• AMAZING HOME CARE SERVICES VA LLC Other name

Locations

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1407417819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 INTERNATIONAL DR STE 600",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024877",
            "telephone_number": "703-881-1989",
            "fax_number": "703-881-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 INTERNATIONAL DR STE 600",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024877",
            "telephone_number": "703-881-1989",
            "fax_number": "703-881-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING HOME CARE SERVICES VA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "AVENDANO",
        "authorized_official_first_name": "LUZDARYS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-881-1989",
        "authorized_official_credential": "HCO222081"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0826250620",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMAZING HOME CARE SERVICES VA LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Julie Ann Ambrose, M.D.
• American Health Home Care Group, Inc (American Health Care Professionals)
• John Griffin Ames, RBT
• Alick Amini, C PED
• Farinaz Amirsehi, LPC

• Personal Care Attendant in McLean, VA
• Providers in McLean, VA by specialty
• Personal Care Attendant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.