Active NPI
JD Enterprise Resources LLC
- In Home Supportive Care Agency
- Fairfax, VA
National Provider Identifier
1417493917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- HCO-171200
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.