Organization Active NPI

JD Enterprise Resources LLC

  • In Home Supportive Care Agency
  • Fairfax, VA
National Provider Identifier
1417493917
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HCO-171200 Issued in VA
Legal business name
JD ENTERPRISE RESOURCES LLC
Doing business as
Senior Helpers of Fairfax
Practice address
10375 Democracy LN Ste a
Fairfax, VA 22030-2554
Phone
(703) 940-1515
Fax
(703) 940-1516
NPI assigned
Jan 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Authorized official

Name
Tammy Fletcher
Title
Owner
Phone
(703) 940-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HCO-171200 VA Primary

Addresses

Primary practice location

10375 Democracy LN Ste a
Fairfax, VA 22030-2554

Mailing address

10375 Democracy LN Ste a
Fairfax, VA 22030-2554
Phone (703) 940-1515

Other names 1

  • Senior Helpers of Fairfax Doing business as

National Provider Directory

National Provider Directory

Locations

10375 Democracy Ln
Ste A
Fairfax, VA 22030
Phone (703) 940-1515

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1417493917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10375 DEMOCRACY LN STE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302554",
            "telephone_number": "703-940-1515",
            "fax_number": "703-940-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10375 DEMOCRACY LN STE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302554",
            "telephone_number": "703-940-1515",
            "fax_number": "703-940-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD ENTERPRISE RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-940-1515"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "HCO-171200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Helpers of Fairfax",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Senior Helpers of Fairfax",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.