Shana Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SHANA HOME CARE LLC

Practice address

5680 King Centre Dr Ste 600
Alexandria, VA 22315-5755

Phone

(667) 200-6921

NPI assigned

Jul 23, 2020

Organization subpart

No

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

Authorized official

Name

Moses Khedi

Title

Owner/President

Phone

(667) 200-6921

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1427667799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11202 AVALANCHE WAY UNIT B",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442972",
            "telephone_number": "667-200-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 KING CENTRE DR STE 600",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155755",
            "telephone_number": "667-200-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "KHEDI",
        "authorized_official_first_name": "MOSES",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "667-200-6921"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ihsan Shaikhly
• Shalom Homecare Solutions LLC
• Shalom Life Care Solution LLC
• Theresa Shamis
• Shamrock Key, LLC
• Dennis Edwards Shannon
• Jacqueline Marie Shannon, OD
• Harold L. Shapiro
• Alireza Sharafi, D.D.S
• Rimjhim Sharan, M.S.

• In Home Supportive Care Agency in Alexandria, VA
• Providers in Alexandria, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.