NPIMap

Organization Active NPI

Ava Homecare Agency LLC

Doing business as AVA Homecare Agency

  • In Home Supportive Care Agency
  • Herndon, VA
National Provider Identifier
1407564743
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AVA HOMECARE AGENCY LLC
Doing business as
AVA Homecare Agency
Practice address
13383 Launders St
Herndon, VA 20171-5519
Phone
(703) 495-3998
Fax
(703) 289-0401
NPI assigned
Nov 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Dr. Daniel S Shin
Title
President
Phone
(703) 495-3998

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

13383 Launders St
Herndon, VA 20171-5519

Mailing address

13383 Launders St
Herndon, VA 20171-5519
Phone (703) 495-3998

Other names 1

  • AVA Homecare Agency Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@avahca.com Direct AVA Homecare Agency LLC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1407564743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13383 LAUNDERS ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201715519",
            "telephone_number": "703-495-3998",
            "fax_number": "703-289-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13383 LAUNDERS ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201715519",
            "telephone_number": "703-495-3998",
            "fax_number": "703-289-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVA HOMECARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-495-3998",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@avahca.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "AVA Homecare Agency LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Any Type",
            "address_1": "13383 Launders St",
            "city": "Herndon",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201715519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AVA Homecare Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AVA Homecare Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.