Organization Active NPI

Essential Home Care LLC

  • Nurse's Aide
  • Fairfax Station, VA
National Provider Identifier
1427655067
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Legal business name
ESSENTIAL HOME CARE LLC
Practice address
8814 Copper Leaf Way
Fairfax Station, VA 22039-3078
Phone
(804) 277-5020
NPI assigned
Oct 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Bai Kamara
Title
Ceo
Phone
(804) 277-5020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X Primary

Addresses

Primary practice location

8814 Copper Leaf Way
Fairfax Station, VA 22039-3078

Mailing address

8814 Copper Leaf Way
Fairfax Station, VA 22039-3078

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1427655067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8814 COPPER LEAF WAY",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220393078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8814 COPPER LEAF WAY",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220393078",
            "telephone_number": "804-277-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "KAMARA",
        "authorized_official_first_name": "BAI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-277-5020"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax Station, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.